Pharmacies contracted with the Vendor Drug Program are in a unique position to assist Medicaid clients with access to a whole array of pharmacy benefits. It is important for your staff to know what prescription drug products Medicaid covers, where to access information on the clinical edits and the preferred drug list, and who to contact for claim processing issues. Please contact the Vendor Drug Program with questions about these topics, or your regional Vendor Drug office to request assistance with in-house training for your pharmacy staff.
Pharmacy Continuing Education
Federal law requires all providers and other entities that receive or make annual Medicaid payments of $5 million or more to educate their employees, contractors, and agents about fraud and false claims laws and the whistleblower protections available under those laws.
Further details are available at www.hhsc.state.tx.us/medicaid/Provide_Notification.pdf
HHSC offers five free computer-based training courses at www.txhealthsteps.com/cms/ to enhance your ability to provide pharmacy services to Medicaid eligible children in Texas. The courses are accredited by the Accreditation Council of Pharmacy Education (ACPE).
Additional Pharmacy Provider Training Opportunities
The following training opportunities are available for all pharmacists, pharmacy technicians, and other pharmacy staff:
- Coordination of Benefits (COB) claim submission (PDF)
- Pharmacy DME providers CBT (at tmhp.com)
- TMHP Provider Education
- TMHP Support Services
IMPROVE (Interactive Medicaid Provider Voice) is a web-based, provider-focused initiative designed to foster better relations and understanding between medical providers and Medicaid. IMPROVE allows providers who pinpoint systemic issues within the Medicaid program the opportunity to suggest resolutions.