KRS 205.6316: Review of procedures for medical assistance reimbursement of

pharmacists to reduce fraud and abuse -- Dispensing fee.

The Cabinet for Health and Family Services shall review the procedures for medical

assistance reimbursement of pharmacists to reduce fraud and abuse. The cabinet shall by

promulgation of administrative regulation, pursuant to KRS Chapter 13A, establish the

following:

(1) Point-of-sale computer technology, with integration of data at the physician's office

and the pharmacy, that will permit prospective drug utilization review;

(2) Usage parameters by drug class to enable medical necessity and appropriateness

reviews to be conducted prior to payment;

(3) A dialog among the Department for Medicaid Services, the Kentucky Medical

Board of Li censure, and the Kentucky Board of Pharmacy, to develop

recommendations for legislation for the 1996 Regular Session of the General

Assembly that will strengthen the generic substitution laws for prescription

medication; and

(4) A dispensing fee for each prescription.