Welcome to the training on Pharmacy provided by the Texas Health and Human Services Commission (HHSC) and the Texas Department of State Health Services (DSHS).
ACPE and NABP have implemented a new system to track completed CPE activities by pharmacists and pharmacy technicians. You must set up an eProfile ID with NABP and supply that ID and your DOB (MMDD). Course credit will be posted the first week of each month to eMonitor. Pharmacists and pharmacy technicians will not receive a paper statement of credit upon course completion. Certificates for other accreditations may be printed after your post-test and evaluation are completed.
The goal of this module is to equip pharmacists and pharmacy staff to meet legal requirements and employ best practices in delivering outpatient pharmacy services to patients enrolled in Texas Medicaid, Children’s Health Insurance Program, Children with Special Health Care Needs Services Program, Healthy Texas Women Program, and Kidney Health Care Program.
Pharmacy providers who are enrolled in Texas Medicaid and other interested pharmacists and pharmacy staff.
Specific Learning Objectives
After completing the activities of this module, you will be able to:
- Specify requirements of the Texas Health and Human Services Commission’s Vendor Drug Program (VDP) related to pharmacy enrollment, using the Preferred Drug List and online formulary, obtaining prior authorization, and dispensing a 72-hour emergency supply of medication.
- Determine how to verify patient eligibility and submit claims to Medicaid and third-party payers.
- Determine how to respond when a patient submits a prescription written on a non-tamper-resistant prescription pad.
Please note this module expires on 5/1/2023.
This module was released on 5/1/2020.
Accreditation Council for Pharmacy Education
Texas Health and Human Services Commission (HHSC) and the Texas Department of State Health Services (DSHS are a co-sponsor with Texas Tech University Health Sciences Center, Jerry H. Hodge School of Pharmacy. The Texas Tech University Health Sciences Center, Jerry H. Hodge School of Pharmacy is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of Continuing Education.
One of the requirements of continuing education is disclosure of the following information to the learner:
- Notice of requirements for successful completion of continuing education activity. To receive continuing education credit the learner must successfully complete the following activities:
- Create a Texas Health Steps account.
- Complete on-line registration process.
- Thoroughly read the content of the module.
- Complete the on-line examination with a score of 75% or higher.
- Complete the evaluation.
- Commercial Support.
The THSTEPS Web-based Continuing Education Series has received no commercial support.
- Disclosure of Relevant Financial Relationships.
The THSTEPS Continuing Education Planning Committee and the authors of these modules have no relevant financial relationships to disclose.
- Non-Endorsement Statement.
Accredited status does not imply endorsement of any commercial products or services by the Department of State Health Services, Continuing Education Service; Texas Medical Association; or American Nurse Credentialing Center.
- Off-Label Use.
Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that the authors of these modules have not included content that discusses off-label use (use of products for a purpose other than that for which they were approved by the Food and Drug Administration).
- This is a knowledge-based program.
- Key personnel involved in developing this course include:
- Laura Tuma - Writer
- Denise Gamino - Editor
- Lydia Aguilera - External Subject Matter Expert
- Catherine Farris - HHSC Event Planner
- Included Universal Activity Numbers (UAN) for this course:
Glossary of Terms
Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect Continuing Education content about products or services of a commercial interest with which she/he has a financial relationship or where there are any other potentially biasing relationships of a professional or personal nature.
Commercial Interest: Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
Financial Relationships: Those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. Relevant financial relationships would include those within the past 12 months of the person involved in the activity and a spouse or partner. Relevant financial relationships of your spouse or partner are those of which you are aware at the time of this disclosure.
Off Label: Using products for a purpose other that that for which it was approved by the Food and Drug Administration (FDA).
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Texas Department of State Health Services. (2019). Comprehensive Care Program.
Texas Medicaid and Healthcare Partnership. (2019). Texas Medicaid Provider Procedures Manual.
Texas Health and Human Services Commission. (2019). Children’s Health Insurance Program.
Texas Health and Human Services Commission. (2019). Children with Special Health Care Needs Program.
Texas Health and Human Services Commission. (2019). Healthy Texas Women.
Texas Health and Human Services Commission. (2019). Kidney Health Care Program.
Texas Health and Human Services Commission. (2019) Texas Health Steps.
Texas Health and Human Services Commission. (2019). Texas Medicaid Vendor Drug Program.
- Dispensing 72-Hour Emergency Prescriptions
- Formulary Search
- Managed Care Pharmacy Resources. Includes service area and contact information for each MCO
- Managed Care Prior Authorization
- Patient Eligibility Verification Portal
- Pharmacy Enrollment Forms
- Pharmacy Prior Authorization
- Preferred Drug List
- Texas Pharmacy Provider Procedure Manual
U.S. Centers for Medicare and Medicaid Services. (2019) Medicare Part D website.
The definitions in this module were obtained from the federal Centers for Medicare & Medicaid Services and the Texas Administrative Code.