Medi-Cal Rx Reinstatement: A Phased Approach

When:  Aug 18, 2022 from 02:00 PM to 03:00 PM (ET)

DATE:  August 18th, 2022
TIME:  2:00pm- 3:00pm

Registration closes 8/17/22

On January 7, 2019, Governor Newsom issued Executive Order (N-01-19) to create a single-purchaser system of drugs in California. Specifically, the Executive Order directs the Department of Health Care Services (DHCS) to transition all pharmacy services for Medi-Cal managed care (MCO) to Fee for Service (FFS). This is known as the pharmacy transition, or Medi-Cal Rx, and went into implementation on January 1, 2022.

Given systemwide issues in implementing the full pharmacy transition in January, DHCS decided to create a waiver to exempt the need to submit prior authorizations (PAs) for most drugs and removed drug utilization review (DUR) codes. Now that we are 8 months into Medi-Cal Rx implementation, DHCS reinstated DUR codes on July 22 and plans to begin reinstating PAs for certain drug classes beginning as soon as September 16.

Magellan will be providing a presentation for CPCA health center members on August 18 @ 2 pm to help walk CHC through DHCS phased implementation plan for Medi-Cal Rx. During the training they will also touch on the current NDC / CDL list and overview of the CMM platform. We are hopeful that this will be part 1 of our training series, with the second training focused on reimbursement and billing.

NOTE TO ALL REGISTRANTS: After registering for this training you will receive two emails: one immediately upon registration confirming your order, and a second with a link to the Zoom registration page by 11:59 pm PT of the evening you register. If you do not receive the second email with the link by by 11:59 pm PT of the evening you register, please email training@cpca.org By completing this registration you will have the option to add this training to your calendar. 


LEARNING OBJECTIVES

  • Grow their understanding of the phased implementation plan for Medi-Cal Rx and be provided the opportunity to ask questions regarding this plan.
  • Understand how to look up information on the CDL / NDC lists.
  • Learn the benefits of using CoverMyMeds┬« in conjunction with Medi-Cal Rx.


PRESENTERS

  • Paola Barajas, Sr. Pharmacy Services Representative, Medi-Cal Rx, Magellan Health
  • Sarah Heffron, Director, Education & Outreach, Medi-Cal Rx, Magellan Health


FEES
Fees for this training have been waived for all.


HOW TO REGISTER


NOTE TO ALL REGISTRANTS: 
After registering for this training you will receive two emails: one immediately upon registration confirming your order, and a second with a link to the Zoom registration page by 11:59 pm PT of the evening you register. If you do not receive the second email with the link by by 11:59 pm PT of the evening you register, please email training@cpca.org By completing this registration you will have the option to add this training to your calendar. 

In order to register for any CPCA event, you must first be logged in to your account. If you do not have an account, you can create one. If you do not remember your login credentials, please email training@cpca.org. Once logged in, click the Register button, answer any questions that appear on the screen and click Save Responses. Continue scrolling to the bottom of the page and click Proceed to Checkout. Lastly, complete all payment details and click, Submit. You will receive one immediate email with a receipt of your order. Subsequent emails will follow with additional details. You can watch our brief registration tutorial video here. If you still have difficulty, please contact training@cpca.org

 


CPCA provides training and education to community health centers for general illustration and instructional purposes. As an anti-racist organization, we are committed to providing educational opportunities that are unbiased and meet the fullest standards for cultural and linguistic competency for both accredited and non-accredited events. To that end, our Association intends to be in full compliance with the intent of AB 241 Implicit Bias in continuing education and AB 1195 Continuing Education: cultural and linguistic competency. Please read through the text of these bills to understand the intent of the legislature, now codified as California Business and Professions Code 2190.1.

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Disclaimer:The information on this session is intended only to provide a general overview of the topics addressed.  This session is not intended to provide legal advice or substitute for the guidance, counsel or advice of legal counsel on any matters particular to a specific primary care clinic. CPCA does not endorse companies or products. Advertising and sponsorship revenue supports our not-for-profit mission. 

Location

Online Via Zoom