State Codes and Statutes

Statutes > Kentucky > 205-00 > 6316

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Page 1 of 1 205.6316 Review of procedures for medical assistance reimbursement of pharmacists to reduce fraud and abuse -- Dispensing fee. The Cabinet for Health and Family Services shall review the procedures for medical <br>assistance reimbursement of pharmacists to reduce fraud and abuse. The cabinet shall by <br>promulgation of administrative regulation, pursuant to KRS Chapter 13A, establish the <br>following: <br>(1) Point-of-sale computer technology, with integration of data at the physician's office and the pharmacy, that will permit prospective drug utilization review; (2) Usage parameters by drug class to enable medical necessity and appropriateness reviews to be conducted prior to payment; (3) A dialog among the Department for Medicaid Services, the Kentucky Medical Board of Licensure, and the Kentucky Board of Pharmacy, to develop <br>recommendations for legislation for the 1996 Regular Session of the General <br>Assembly that will strengthen the generic substitution laws for prescription <br>medication; and (4) A dispensing fee for each prescription. Effective: June 20, 2005 <br>History: Amended 2005 Ky. Acts ch. 99, sec. 250, effective June 20, 2005. -- Amended 2004 Ky. Acts ch. 108, sec. 2, effective July 13, 2004. -- Amended 2002 Ky. Acts <br>ch. 8, sec. 2, effective February 21, 2002. -- Amended 2000 Ky. Acts ch. 521, <br>sec. 29, effective July 14, 2000. -- Amended 1998 Ky. Acts ch. 426, sec. 208, <br>effective July 15, 1998. -- Created 1994 Ky. Acts ch. 512, sec. 75, effective July 15, <br>1994.

State Codes and Statutes

Statutes > Kentucky > 205-00 > 6316

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Page 1 of 1 205.6316 Review of procedures for medical assistance reimbursement of pharmacists to reduce fraud and abuse -- Dispensing fee. The Cabinet for Health and Family Services shall review the procedures for medical <br>assistance reimbursement of pharmacists to reduce fraud and abuse. The cabinet shall by <br>promulgation of administrative regulation, pursuant to KRS Chapter 13A, establish the <br>following: <br>(1) Point-of-sale computer technology, with integration of data at the physician's office and the pharmacy, that will permit prospective drug utilization review; (2) Usage parameters by drug class to enable medical necessity and appropriateness reviews to be conducted prior to payment; (3) A dialog among the Department for Medicaid Services, the Kentucky Medical Board of Licensure, and the Kentucky Board of Pharmacy, to develop <br>recommendations for legislation for the 1996 Regular Session of the General <br>Assembly that will strengthen the generic substitution laws for prescription <br>medication; and (4) A dispensing fee for each prescription. Effective: June 20, 2005 <br>History: Amended 2005 Ky. Acts ch. 99, sec. 250, effective June 20, 2005. -- Amended 2004 Ky. Acts ch. 108, sec. 2, effective July 13, 2004. -- Amended 2002 Ky. Acts <br>ch. 8, sec. 2, effective February 21, 2002. -- Amended 2000 Ky. Acts ch. 521, <br>sec. 29, effective July 14, 2000. -- Amended 1998 Ky. Acts ch. 426, sec. 208, <br>effective July 15, 1998. -- Created 1994 Ky. Acts ch. 512, sec. 75, effective July 15, <br>1994.

State Codes and Statutes

State Codes and Statutes

Statutes > Kentucky > 205-00 > 6316

Download pdf
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Page 1 of 1 205.6316 Review of procedures for medical assistance reimbursement of pharmacists to reduce fraud and abuse -- Dispensing fee. The Cabinet for Health and Family Services shall review the procedures for medical <br>assistance reimbursement of pharmacists to reduce fraud and abuse. The cabinet shall by <br>promulgation of administrative regulation, pursuant to KRS Chapter 13A, establish the <br>following: <br>(1) Point-of-sale computer technology, with integration of data at the physician's office and the pharmacy, that will permit prospective drug utilization review; (2) Usage parameters by drug class to enable medical necessity and appropriateness reviews to be conducted prior to payment; (3) A dialog among the Department for Medicaid Services, the Kentucky Medical Board of Licensure, and the Kentucky Board of Pharmacy, to develop <br>recommendations for legislation for the 1996 Regular Session of the General <br>Assembly that will strengthen the generic substitution laws for prescription <br>medication; and (4) A dispensing fee for each prescription. Effective: June 20, 2005 <br>History: Amended 2005 Ky. Acts ch. 99, sec. 250, effective June 20, 2005. -- Amended 2004 Ky. Acts ch. 108, sec. 2, effective July 13, 2004. -- Amended 2002 Ky. Acts <br>ch. 8, sec. 2, effective February 21, 2002. -- Amended 2000 Ky. Acts ch. 521, <br>sec. 29, effective July 14, 2000. -- Amended 1998 Ky. Acts ch. 426, sec. 208, <br>effective July 15, 1998. -- Created 1994 Ky. Acts ch. 512, sec. 75, effective July 15, <br>1994.