2022 Medicaid Managed Care Organization (MCO) Drug Utilization Review (DUR) Program Update
Tuesday, May 3, 2022, 12-1pm ET
Program Description
2022 Medicaid Managed Care Organization (MCO) Drug Utilization Review (DUR) Program Update
Federal law and regulations require that each state Medicaid program conduct a multi-faceted Drug Utilization Review (DUR) program for its fee-for-service (FFS) and Medicaid managed care organization (MCO) beneficiaries to assure that medications prescribed are appropriate, medically necessary, and not likely to result in adverse events. Since 2018, each Medicaid MCO must annually submit a summary of its various DUR activities to the states. The Centers for Medicare and Medicaid Services (CMS) collects and compiles the data submitted to the states and publishes various reports to help states and MCOs refine their DUR programs with the goal of improving drug outcomes in beneficiaries. This presentation will help managed care organizations learn more about this mandatory annual DUR survey, understand recent trends in DUR activities, and suggest activities to improve the programs going forward.
Learning Objectives
At the completion of this activity, participants should be able to:
1. Summarize trends and important topics in DUR programs in state Medicaid MCOs.
2. Identify strategies that will improve DUR programs in Medicaid MCOs.
3. Describe the changes in the upcoming FFY 2022 state Medicaid MCO DUR survey.
Target Audience
This knowledge-based activity has been designed to meet the educational needs of pharmacists in managed care settings.
Faculty
John M. Coster, PhD, RPh
Director, Division of Pharmacy
Center for Medicaid and CHIP Services, Centers for Medicare and Medicaid Services
Paul L. Jeffrey, PharmD
Consultant / Senior Director of Pharmacy MassHealth (retired)
Associate Professor, Family Medicine and Community Health / UMass Chan Medical School
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Agenda |
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12-12:05pm |
Welcome and Introductions |
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12:05-12:50pm |
2022 Medicaid Managed Care Organization (MCO) Drug Utilization Review (DUR) Program Update John M. Coster, PhD, RPh |
| 12:50-1pm |
Audience Q&A |
Continuing Education Credit – Pharmacists
The Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
As an ACPE-accredited provider, AMCP strictly adheres to the ACPE Standards for Commercial Support and other relevant guidelines and standards to ensure the independence of CPE activities. It is AMCP’s intent that all CPE activities be independent, objective, balanced, evidence-based and free of any commercial bias.
Earning CPE Credit
To earn continuing pharmacy education (CPE) credit for this program, you must attend the entire session and participate in the pre- and post-test questions. Once completed, go to http://amcplearn.org to claim CPE credit. In the enrollment code redemption area, enter the enrollment code provided during the session. Complete the program evaluation and enter your NABP ID, birth month and birthday. All CPE credit for this webinar activity must be completed no later than 5pm ET on Friday, May 20, 2022. No exceptions can be made after this date.
- ACPE UAN #: 0233-0000-22-022-L01-P
- Credit: 1.0 contact hours (0.1 CEU)
- Activity Type: Knowledge-based
- Activity Fee: There is no fee to participate in this activity.
System Technical Requirements/Viewing Requirements
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For all activities you should have a basic comfort level using a computer and navigating web sites.
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The live webinar is delivered through GoToWebinar. View minimum technical and system requirements for GoToWebinar. Space is limited to the first 1000 participants that join the webinar.
- The handout will be delivered via Acrobat PDF.
- CPE credit will be claimed through AMCP Learn. View the minimum technical and system requirements for AMCP Learn.
Press
For individuals from the media/press who are interested in attending, please email media@amcp.org.
