LD 1404
pg. 2
Page 1 of 2 RESOLVE Chapter 113 LD 1404 Title Page
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LR 1953
Item 1

 
overrides may be available. The message format must comply with
National Council for Prescription Drug Programs standards.

 
5. By October 1, 2005, the department shall minimize the
burden on providers of submitting duplicative medical records on
behalf of a MaineCare member. In order to reduce the submission
of duplicate information, the department shall work to provide
notice to providers of the types of documentation required and to
create a prior authorization file for each member.

 
6. The department shall provide prompt notice of changes to
the preferred drug list through posting on its website, its group
electronic mailings regarding pharmacy issues and notices to
provider organizations.

 
7. The department shall arrange to allow submission of the
prior authorization form and other required documentation as an
e-mail attachment when such submissions are feasible.

 
8. By January 15, 2006, the department shall amend its rules
regarding the drug utilization review committee under the
MaineCare Benefits Manual, chapter II, section 80.01-13 to
establish conflict-of-interest standards for members of the
committee.

 
9. The department shall consult with the MaineCare Advisory
Committee on the design of future studies related to pharmacy
prior authorization, including a survey of MaineCare members.
The department shall report to the Joint Standing Committee on
Health and Human Services by February 1, 2006 on its progress in
implementing this subsection.


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