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Pharmacy-Based PrEP Series #6: Talking Medicaid Managed Care Contracts and Billing

Presentation Date: 2022-08-05

Presentation Length: 39:10

Presenters: June Smith,, Kelsey Gratton,

Presentation Categories: PIPAR

Presentation Tags: Pharmacy PrEP

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Presentation Details:
Objectives:

Describe the credentialing process with Molina, including what tools and forms are required.
Outline if there are special considerations or rules for pharmacies.
Review Molina’s billing process, including best practices, tips, and guidance:
Learn what types of services pharmacies can bill Molina for as part of a PrEP Pharmacy Program.
Outline process for submitting prior authorizations.
Summarize how to provide and bill for PrEP services for minors, and how to ensure sensitive and confidential information stays private.

Presentation Transcript:

MOUNTAIN WEST AIDS EDUCATION AND TRAINING CENTER

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