This multi-state contract with a Medicaid MCO covers Medicaid patients living in Ohio and Indiana. Network pharmacies provided Comprehensive Medical Reviews and targeted interventions.
John Croce, CPESN Upstate New York Managing Network Facilitator, describes a six-month health screening program and survey of social determinants of health. Referrals are made to healthcare teams for needed services.
CPESN® Arkansas, Behavioral Health Med Adherence Program
CPESN® Arkansas pilot program to improve medication adherence in behavioral health patients. Pharmacists provided counseling on adherence to behavioral health medications, and conversion to long-acting anti-psychotic injectables for some patients.
Under a contract with a Medicaid MCO, 100 Pennyslvania Pharmacists Care Network - CPESN® Pennsylvania pharmacies engaged eligible patients to participate in Medication Synchronization services. The goal was to close HEDIS® identified gaps in care, using MedSync and documenting through eCare plans.
Medication Therapy Management (MTM) services are provided by CPESN Minnesota pharmacies to both Medical Assistance (Medicaid) and MinneaCare patients taking at least one prescription medication to manage a chronic condition. Reviews are conducted face-to-face or via telehealth.
CPESN® Indiana, Smoking Cessation and DSME for Medicaid
CPESN® Indiana luminary Ryan Engleking, owner of Engleking Rx in Mitchell, Indiana, describes two payer programs his network has implemented with a Medicaid Managed Care plan. CPESN pharmacies provide smoking cessation patient counseling and Diabetes Self Management Education (DSME) services.
Community pharmacists in the Pennsylvania Pharmacists Care Network (PPCN) conducted initial and followup Comprehensive Medical Reviews for patients covered under a statewide Medicaid MCO plan.