Ky. Rev. Stat. § 205.6316

Current through Acts Received April 24, 2024

Section 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 assistance reimbursement of pharmacists to reduce fraud and abuse. The cabinet shall by promulgation of administrative regulation, pursuant to KRS Chapter 13A, establish the following:

(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 recommendations for legislation for the 1996 Regular Session of the General Assembly that will strengthen the generic substitution laws for prescription medication; and

(4) A dispensing fee for each prescription.

KRS 205.6316

Effective:6/20/2005
Amended 2005, Ky. Acts ch. 99, sec. 250, effective6/20/2005. -- Amended 2004, Ky. Acts ch. 108, sec. 2, effective 7/13/2004. -- Amended 2002, Ky. Acts ch. 8, sec. 2, effective 2/21/2002. -- Amended 2000, Ky. Acts ch. 521, sec. 29, effective 7/14/2000. -- Amended 1998, Ky. Acts ch. 426, sec. 208, effective 7/15/1998. -- Created 1994 Ky. Acts ch. 512, sec. 75, effective 7/15/1994.