Navigating the Ins and Outs of Medicaid Managed Care and 340B

CaptureRx recently hosted another 340Brief webinar. This episode was on “Navigating the Ins and Outs of Medicaid Managed Care and 340B”. Presented by Robert Carlson, Product Manager, and Lena McAdams, Compliance Analyst, the episode outlined a quick overview of the plans that are carved out or carved in, along with guidance on starting the process to carve-in.

Here are a few key takeaways from the webinar:

Identification of the Stakeholders: Knowing who is involved in the Medicaid Managed Care Pharmacy Claim and 340B Process. High-level discussion about what each of the stakeholders is responsible for in the process.

Medicaid Plan Differentiation: Highlight how Medicaid Managed Care Organizations (MCO) differs from Medicaid Fee-for-Service (FFS) and other programs that can’t be included in the 340B Program. We also note which programs HRSA provides compliance guidelines on.

Medicaid Managed Care Carve-In Guidance: Overview of the guidance on Contract Pharmacy policy on 340B Carve-In for Medicaid MCOs and key elements that the Covered Entities need to know before they pursue carving in Medicaid MCO to their 340B Program.

Carving-In Medicaid MCOs at CaptureRx: Discussion of two methods that CaptureRx uses to compliantly enable Covered Entities to Carve-In Medicaid MCO dispenses, MCO “20” and 340B Exchange. Discussion of the requirements and data flows for each program and a high-level discussion of what is required to participate in the program.

For information on how you can watch this webinar on-demand, please reach out directly to mitchell.sullivan@capturerx.com or click here

CaptureRx will be hosting a series of 340Briefs throughout 2020. Be on the lookout for future webinar announcements! For topic suggestions, please comment below.