DocStation partners with North Dakota Medicaid to administer the MTM program for eligible North Dakota provider pharmacies.
In a stepwise approach, DocStation will provide a convenient workflow to document CMRs, generate required documents, submit prior authorizations, and submit claims for payment. This article will be updated regularly to reflect the current state of the program.
Frequently Asked Questions
Who can participate in the program?
All current DocStation pharmacies that are credentialed to provide MTM services for ND Medicaid members are welcome to participate in this program. Just drop us a line in Chat or at firstname.lastname@example.org to let us know your interest!
How does the program work?
DocStation identifies CMR-eligible members based on program criteria through a claims integration with ND Medicaid. A CMR Task is generated for eligible members, which can be used to document the encounter and produce ND Medicaid-standard patient takeaway documents.
What is the CMR workflow?
Once you see a CMR task for a patient, complete a Service Authorization and schedule and complete the visit. Depending on what was discussed in the visit, update the patient's health record, including active medications, any drug therapy problems new or resolved, any interventions performed, etc.
Then, in the CMR task, identify the method in which the visit was conducted, complete the formatted action plan, and click "Continue" to generate the patient takeaways. If any information needed for the takeaways is missing, add it in the Additional Required Elements window before completing the workflow. The takeaways will be attached to the task and can be printed immediately.
For greater detail and demos, check out this CMR Task help article.
How will I bill ND Medicaid for the CMR?
DocStation is excited to offer a new Claims feature to pharmacy partners who are interested in documenting and billing clinical services in the same platform! The feature is currently ready for use by any credentialed provider. Learn more about the setup in this Getting Started with Claims help article, and send us a message in Chat or at email@example.com to take advantage of this streamlined tool!
What is the cost?
To utilize the Claims feature and take advantage of easy claim billing for CMRs and other clinical services, enable the Claims & Billing subscription within your DocStation settings.
The subscription cost is $1 monthly (to maintain an active billing account) plus 15% of the total paid remittance earned during the month. This means DocStation will only collect a fee for your claims that are paid, not per claim or per transaction. The 15% fee is collected monthly, and the expected total fee can be viewed in your DocStation settings.
DocStation's clinical tools and tasks are all still free for our pharmacy partners, and use of the platform for participation in health plan-sponsored programs will always be free.
So don't delay! There's no risk to participating in DocStation's programs, and huge advantages for helping us continue to develop world-class tools to advance the pharmacy practice. Let's do this!
Steps to program launch
Step 1: Automated patient attribution - available now
Step 2: Identification of CMR eligible patients - available now
Step 3: CMR workflow and standard patient takeaways - available now
Step 4: Claims billing - available now
Step 5: Enhanced prior authorization workflow - available later 2021