Medicaid and Duplicate Discount Prevention

For FQHCs/Grantees and Hospitals

About the 340B University Virtual Workshop Experience

Designed to bring stakeholders together to discuss operational solutions and best practices for 340B topics, participants collaborate directly with peers in small groups to work through real-world case studies led by experienced 340B University faculty.

Workshop topics are operational in nature and require peer collaboration. Participants should have experience with the 340B Program and have completed 340B University OnDemand modules and/or attended a 340B University in-person training prior to participating in this virtual workshop.

Workshop Description

This session offers perspective on duplicate discount prevention, including self-auditing best practices and considerations for the Medicaid Exclusion File (MEF) and state billing parameters.

Participants will listen to a panel discussion with subject matter experts from a hospital and federally qualified health center (FQHC), then collaborate directly with peers in small groups by working through real-world case studies led by experienced 340B University faculty and apply learnings to their covered entity.

Learning Objectives

  • Confirm the accuracy of your 340B OPAIS entry for the Medicaid Exclusion File
  • Understand your state’s Medicaid fee-for-service/managed care organization (FFS/MCO) billing requirements for 340B drugs

Participant Knowledge Level: Intermediate level of 340B experience.

Upcoming workshops:

FQHCs and Grantees
Wednesday, April 27, 11:00—1:00 pm CT

Enroll Now >

Hospitals
Wednesday, May 4, 11:00 am—1:00 pm CT

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Faculty Facilitators

Michelle Fox, MBA, CGMS, 340B ACE
Manager, 340B Education & Compliance Support
Apexus

Chad Johnson, PharmD, MBA, 340B ACE
Manager, 340B Education & Compliance Support
Apexus

Gavin Magaha, PharmD, MS, 340B ACE
Manager, 340B Education & Compliance Support
Apexus

Apexus Answers Call Center

For questions, or to request additional information regarding specific 340B Prime Vendor Program services or programs offered by Apexus, please see contact information below:

apexusanswers@340Bpvp.com

888 340 BPVP (2787)

8:00 a.m.- 5:00 p.m. CT

Apexus Answers
340B Prime Vendor Program (PVP) Resources
Medicaid Exclusion File (MEF) Checklist >

Confirm your Medicaid Exclusion File records are accurate.

340B Oversight Best Practices Dashboard

Create your own 340B oversight dashboard.

Self-Audit: Prevention of Duplicate Discounts (DSH/PED/CAN) >

Self-assess your compliance to 340B requirements to prevent duplicate discounts.

Self-Audit: Prevention Duplicate Discounts (CHC/FQHC) >  

Self-assess your compliance to 340B requirements to prevent duplicate discounts.

Medicaid State Profiles >

Searchable state-by-state Medicaid 340B requirements.

Understanding the Medicare Cost Report >

Understand 340B impact of Medicare Cost Report worksheets.

Contract Pharmacy Medicaid Carve-In Checklist >

Review if submitting a contract pharmacy carve-in request to HRSA.

340B Prime Vendor Program Managed by Apexus >

The Prime Vendor supports the HRSA 340B Drug Pricing Program as a voluntary program for covered entities and manufacturers.

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