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

'Minor' issues at the nursing home can cause disastrous care transitions, expert warns

'Minor' issues at the nursing home can cause ...

What may appear to be minor administrative problems in a nursing home - a fax machine locked away at night or no one designated to copy paperwork - can cause ...

Long-term care facilities approach 80% worker flu vaccination rate after handing power ...

Fourteen long-term care facilities in Pennsylvania dramatically increased their staff flu vaccination rate by having a regional pharmacy take over the process, according to a report issued Thursday by the Agency for Healthcare Quality and Research (AHQR).

RACs were 'most improved' healthcare auditors for getting back money in 2013, ...

Medicare Recovery Audit Contractors dramatically stepped up their overpayment recoveries last year, returning nearly $487 million more to the government than they did in 2012, according to a new report from a federal watchdog agency.