Pharmacists petition CMS for Part D changes to long-term care

Share this article:

The American Society of Consultant Pharmacists and five other healthcare groups are recommending the government make several policy changes to the Medicare Part D program. The purpose is to resolve medication access problems for long-term care residents.

The groups petitioned Mark B. McClellan, administrator of the Centers for Medicare & Medicaid Services, for the changes. Recommendations include: Allowing physicians to use a form to request non-formulary medication or prior authorization, and prohibiting Part D plans from imposing formulary restrictions or prior authorization requirements at the time of initial fill.

The requests stem from problems related to residents' accessibility to medications during the launch of the program. Pharmacists accused the plans of imposing prior authorization requirements on entire categories of medications. They also complain the large variability among Part D plans creates obstacles to providing quality of care to long-term care residents.

Other groups that signed on to the ASCP letter are: the American Association for Geriatric Psychiatry, the American Geriatrics Society, the American Psychiatric Association, the Maine Benzodiazepine Study Group and the National Association Directors of Nursing Administration/Long Term Care.
Share this article:

More in News

Expert says providers often wrongly threatened by PEPPER reports

Instead of fearing further scrutiny by federal authorities, providers should embrace the opportunity to get feedback in the form of PEPPER reports, legal experts said Monday at the LeadingAge annual meeting in Nashville.

Healthcare reform already driving diverse, dynamic long-term care models, LeadingAge leaders say

Healthcare reform already driving diverse, dynamic long-term care ...

One way to gauge the effects is healthcare reform is by looking at ongoing changes to the continuing care retirement community model, LeadingAge officials said Monday at the association's annual ...

Federal court: Nursing home can be sued for firing hairdresser who can ...

Is the ability to transport residents in their wheelchairs an essential function of a nursing home hairdresser? A federal appeals court says it's a valid question and is allowing a hairdresser to sue a facility that fired her.