医疗补助
报销
药剂师
证书授予
执业范围
药店
医疗保健
医学
立法机关
护理部
业务
专业
政府(语言学)
家庭医学
政治学
法学
哲学
语言学
作者
Pamela Schweitzer,Mark Atalla
出处
期刊:American Journal of Health-system Pharmacy
[Oxford University Press]
日期:2021-02-18
卷期号:78 (5): 408-415
被引量:6
摘要
Abstract Purpose Reimbursement for pharmacist services is complex due to a different set of rules for each payer. State legislatures, regulators, and professional licensing bodies have expanded the scope of practice for pharmacists in many states, representing a significant opportunity for third-party payers, including the Centers for Medicare and Medicaid Services, to enable and expand patient access to, and receipt of, care from pharmacists. This paper will introduce the term “other licensed practitioner” and describe how a state Medicaid program may include covered services provided by a pharmacist practitioner using the Medicaid state plan amendment process. Summary In recent years, states have made great strides in training and educating high-quality pharmacist practitioners, expanding the scope of practice in all states, incorporating a credentialing and privileging process, and expanding the use of collaborative practice agreements with physicians and nurse practitioners. Pharmacists are well-positioned, essential members of the healthcare team, providing a spectrum of clinical and prevention services that increase access to care and improve health outcomes. Conclusion A broad coalition of stakeholders including states, the federal government, pharmacy organizations, and other parts of the health ecosystem, working together, can better address the health needs of a state and its Medicaid beneficiaries. Pharmacist practitioners across different settings of care can augment public health efforts, as well as primary and specialty care practices. State efforts should include enrollment and reimbursement of pharmacist practitioners as Medicaid providers for pertinent Medicaid-covered services.
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