MACHC 340B call Wednesday, March 25th

*If you have any questions regarding 340b, please email MACHC's COO, Judy Lapinski at jlapinski@machc.com

• Changes to Medicaid Reimbursements
• UHC MCO is limiting their pharmacy network as of April 1, 2015
• Many community retail pharmacies and also some larger chains are being removed from the network
• In Maryland, our Director of Maryland Medicaid Pharmacy Program was as surprised as we are at the news
• Medicaid Reimbursements - lined to actual acquisition costs from Pharmacy, state wants to know true acquisition costs
• AWP  - reimbursements based on AWP, it's not a real number, worked fine for quite a while (but artificially inflated), state is looking to get away from that (looking to MAC and other different price points)
• In 2011, CMS surveyed pharmacies to ask for their actual pharmacies for 340B and non-340B. Got a great response rate, used to determine new pricing metric, NADAC ?(couldn't hear)
• Pharmacy  - prices are made up of cost of drug and dispensing cost
• In 2013, State surveyed dispensing cost. Mean dispensing cost is $10.49. Statistically different change between chain and independent pharmacies. State met with only independent pharmacies, rather than chains.
• Example - 1049 only receives $100 from $1000 drug prescribed - 90% rate. Medicaid only has to pay 1.5 million dollars more
• Ask state for differences between dispensing fees between independent and chain pharmacies. WIN FOR US
• NADAC - possible to appeal prices - period of time that we can retrobill for better prices!!!
• If we are serving a drug for $50, and it goes up to $75, but MD won't update its prices daily. So thus, the state will allow us to price the drug at $75 so we don't lose money while the NADAC prices will take time to increase the price.
• Medicaid has agreed to publish price change list so we can retrobill to make up lost money if the price changes rapidly.
• Our Members must budget for this - upcoming changes in June and July
• Recommendation - go to state and be amiable/cooperative to work with them to get what our members want, possibly next week
• Our members must get financial data related to 340B (340B claims) to Judy L, in 3 weeks time (April 10th)
• Do MCO claims need to be carved out of 340B claims? MD has not come out with a stance. This is good news. If pharmacies are going to submit a claim, let state know, don't have to submit a rebate then. Most chains don't bother with MCO claims, but our member pharmacies can get additional revenue from it. 

Important message that was sent out to all applications for CAC's.

Good Afternoon,

We have scheduled MHC System training webinar sessions for Application Counselors. These sessions are scheduled and open for registration in The Hub for those who still need to complete this requirement or if you feel you need refresher training on the system.  The webinar sessions are scheduled under the MHC-Application Counselor ILT System Training Event listed in the HUB either on the active or completed tab on your transcript.

If you have problems with accessing your Hub account, contact our training team at mhc.trainingsupport@maryland.gov.

Title: MHC-Application Counselor ILT System Training

Locator Number: 795

Date: June 25th, 2015

Time 10:30 am - 1: 30 pm

Registration close date/time: 6/22/2015 @ 12:00 am

Requirements for Webinar Completion:

1.    You must attend the webinar session in their entirety. Participants who miss more
than 15 minutes of the webinar, as captured by entry and exit times throughout
the session, will not receive completion status for the training.  For example, if a participant enters the online meeting space after 9:15 am for a webinar start time of 9:00 am, he or she will not receive credit for the training. 

Participants must participate in the webinar through the Webex Meeting space and by phone for audio. If you are on the phone the entire time, but not signed into the
WebEx, you will not receive credit for the training.  For this reason, we encourage you to remain logged into the online event during scheduled breaks and Q&A sessions. 

 2.    You must log into the session on an individual computer with a complete and
accurate last name, first name, and email address. When joining the session, 
please enter the same name and email address you used when registering for the
webinar on The Hub.

Participants who share a computer to attend the webinar will not receive completion status for the training, because their names and email addresses will not be captured
in the webinar attendance report. 

3.    Only participants who completed the required prerequisites and registered for the webinar through The Hub, before the registration deadline date and time, and satisfied the attendance requirements listed above will receive credit for completing the webinar.
 
4. Only registered participants will receive an email on how to access the webinar, to the email address that was used to register in The Hub, at least 24 hours before the
start of the webinar. 

Thank you,

Maryland--Call Center Note:

Direct Line for Navigators and CAC to MHBE Call Center--Regarding the Call Center # 844-224-6762 It should be noted that: If you need customer assistance from the call center, CAC's should call this number.