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Information relevant to pharmacy practice such as expanded roles of pharmacists, advancements in pharmacy practice, professional resources to share with patients or enhance practice knowledge and more.

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Michigan Medicaid has issued a new guidance document on how to access electronic TPL Claim Void Reports through the Community Health Automated Medicaid Processing System (CHAMPS) system. The document is available for download through the MPA Web site. It provides an overview on how to search for and review the Michigan Medicaid Provider Claim Void Reports, which are made available on the sixth day...

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The Medicaid Provider Manual (Coordination of Benefits Chapter, Section 2.6.F) states that all providers are required to follow the plan limitations of the Medicaid beneficiary’s primary insurance. If the primary plan denies a claim because the provider did not request the required Prior Authorization (PA), the pharmacy must pursue the PA prior to billing Medicaid. Medicaid can only be bille...

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The Centers for Medicare and Medicaid Services (CMS) recently updated the Medicare coverage requirements of the pneumococcal vaccine corresponding with the most recent recommendations from the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP). Beginning in 2015, Medicare Part B will cover a second administration of the pneumococcal vaccine one y...

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The Centers for Disease Control and Prevention (CDC) recently released early estimates of the influenza vaccine effectiveness for the 2014-2015 season in the Morbidity and Mortality Weekly Report. Early estimates indicate that the seasonal influenza vaccine was just 23 percent effective. The interim estimate, which is relatively low when compared with previous seasons, likely reflects the fact tha...

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Americans without health insurance have until Feb. 15 to enroll in affordable, quality plans through the Health Insurance Marketplace. As a pharmacist, you work with customers without insurance or pharmacy coverage every day who struggle to pay for critical medication(s) out of pocket. You can help them begin enrollment in quality, affordable health insurance coverage simply by providing informati...

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