Wednesday, September 3, 2014

Update on Collection of Prescription Drug Information via WCMSAP

On August 19, 2014, CMS issued an alert addressing an upcoming enhancement to the Workers Compensation Medicare Set-Aside Portal (WCMSAP) concerning collection of prescription drug information.

Starting October 6, 2014, WCMSAP users will be able to directly input prescription drug information into the online portal, which will then calculate the proposed prescription drug portion of the WCMSA proposal. This enhancement will include new data-entry pages that will allow users to indicate if a claimant is taking or expecting to take prescription drugs as a result of the workers’ compensation injury. Additionally, users will be able to utilize a search tool and select drugs by searching the drug name, National Drug Code (NDC), or a manufacturer name. Once a drug has been chosen and added to the portal case, the portal will display drug name, dosage, NDC, PPU (price per unit) and the number of years based on life expectancy. Users can then enter the frequency of the drug use and the system will determine the expected drug costs.

The forthcoming features will be available for all new and existing Work-In-Progress cases submitted on or after October 6, 2014. Prescription drugs will continue to be verified and priced using the monthly Redbook Drug Reference in effect at the date of submission.

As the date of implementation draws near, CMS will publish a new alert including images of the new WCMSAP prescription drug pages, as well as more detailed information.

Please check back with us for the most up to date information!

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