Federal Register - "Medicare Program; Contract Year 2019 Policy and Technical Changes to the Medicare Advantage, Medicare Cost Plan, Medicare Fee-for-Service, the Medicare Prescription Drug Benefit Programs, and the PACE Program"

EPA - Knowledge Mosaic RSS 2018-04-16

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Title: Medicare Program; Contract Year 2019 Policy and Technical Changes to the Medicare Advantage, Medicare Cost Plan, Medicare Fee-for-Service, the Medicare Prescription Drug Benefit Programs, and the PACE Program Source: Federal Register Data/Action: Health and Human Services Department (Final Rule) Date: 4/16/2018 Text Preview: ...(ePA) transaction for the Part D program. They note that ePA is more efficient for prescribers, pharmacies, plans, and patients. Response: We understand that Part D plans are anxious to adopt the NCPDP SCRIPT ePA standard. However, the HIPAA standard transaction for prior authorization does not accept the NCPDP SCRIPT ePA standard. In order for CMS to adopt the 2017071 for use in the Part D e-prescribing program, the HIPAA standard transaction would need to be modified to allow for use of an NCPDP SCRIPT ePA... ...propose adoption of the NCPDP SCRIPT ePA for use in the Part D e-prescribing program. Comment: We received a variety of comments concerning the amount of lead...

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04/16/2018, 04:00