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Psychiatric Practice and Managed Care
Need Help With Part D Problems?
Psychiatric News
Volume 42 Number 7 page 17-17

Staff from APA's Office of Healthcare Systems and Financing (OHSF) meet regularly with Part D policymakers from the Centers for Medicare and Medicaid Services (CMS) in an effort to ensure Medicare beneficiaries are able to access the psychiatric medications they require.

In 2006 OHSF heard from a large number of physicians about problems they were encountering. Through frequent communications with CMS, OHSF staff were able to get a number of problems cleared up on an individual basis—such as when prescription drug plans (PDPs) were not complying with CMS guidance about continuing coverage for psychotropic drugs on which patients were stabilized or when PDPs were charging inappropriate copays for patients with low-income subsidies. Staff were also able to get clarification on a number of policy issues that helped to protect access.

OHSF would like to keep the pressure on CMS for 2007 if Part D is still making it difficult for patients to access the psychiatric drugs they're entitled to. Here is the specific information OHSF needs:

Please e-mail this information to PartD@psych.org or call (866) 882-6227, and a member of OHSF staff will contact you if necessary.

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