revised medication review services policy
TRANSCRIPT
-
8/12/2019 Revised Medication Review Services Policy
1/20
PharmaceuticalServicesDivision|MinistryofHealth Page11of33
8.9 MedicationReviewServices[RevisedEffectiveApril1,2014]
GeneralPolicyDescription
B.C.pharmaciescansubmitaclaimtoPharmaCareformedicationreviewservicesprovidedby
pharmaciststo
eligible
patients.
Amedicationreviewisapatientcareservicethatseekstoenhanceapatientsunderstandingof,and
improvethehealthoutcomesof,theirmedicationregimen.
Theserviceisprovidedbyapharmacistthroughoneonone,inpersonappointmentduringwhichthe
patientandpharmacistidentifyallmedicationsthatthepatientistaking,discusshowthemedications
arebesttakenand,whereappropriate,createamedicationmanagementplantoaddressanyissues.At
theendoftheappointment,thepharmacistprovidesthepatientwithoneormoredocumentslisting
theirmedications.
ThispolicystandardizeshowmedicationreviewservicesaredeliveredacrossB.C.
Thethreetypesofmedicationreviewserviceseligibleforpaymentare:
MedicationReviewStandard(MRS) MedicationReviewPharmacistConsultation(MRPC) MedicationReviewFollowUp(MRF).PolicyDetails
Policiesapplicabletoallmedicationreviewservices
PharmacistsshouldensuretheyarefamiliarwiththeentirecontentsofthissectionofthePharmaCarePolicyManualbeforedeliveringandsubmittingclaimsforamedicationreviewservice.
Thissectioncontainsthefollowingpoliciesapplicabletoallmedicationreviewservices: 1Determiningpatienteligibility 2Documentingmedicationreviewservicedelivery 3Obtainingpatientsignatureinacknowledgementsection 4Claimingmedicationreviewservicesfees
1Determiningpatienteligibility
Beforeperformingamedicationreviewserviceforaconsentingpatientforwhichaclaimwillbesubmitted,pharmacistsmustensurethepatientiseligibleforPharmaCarecoverageofthatservice.
Inadditiontothepatienteligibilityrequirementsthatapplytoallmedicationreviewservices(seetablebelow),therearespecificeligibilitycriteriaforeachtypeofmedicationreviewservice.
>>Forspecificeligibilityrequirementsforeachmedicationreviewservice,refertothePatientEligibility
forMedicationReviewStandard,PatientEligibilityforMedicationReviewPharmacistConsultation,
andPatientEligibilityforMedicationReviewFollowupsections.
-
8/12/2019 Revised Medication Review Services Policy
2/20
PharmaceuticalServicesDivision|MinistryofHealth Page12of33
Tobeeligibletoreceiveanyofthethreemedicationreviewservices(includingfollowupappointments),thepatientmustmeetallofthecriteriainthetablebelow:
PatientEligibilityCriteriaForAnyMedicationReviewService
Thepatientmust Notes
BearesidentofB.C. Thatis,theymusthaveapermanentaddressinB.C.
verifiedby
aB.C.
drivers
licence,
BC
Services
Card
or
BC
CareCardorotherIDcard.
HaveaB.C.PersonalHealthNumber(PHN) B.CresidentswhohaveaB.C.PHNdonotneedtobe
registeredfor,orhave,PharmaCarecoveragetobe
eligibleformedicationreviewservices.
NonInsuredHealthBenefits,VeteransAffairsCanada
andCanadianArmedForcesbeneficiariesareeligible
formedicationreviewservices.
NotbecoveredunderPharmaCarePlanB Medicationreviewservicesforindividualsinresidential
carefacilitiesarealreadyfundedthroughPharmaCare
PlanB.
Haveatleastfivedifferentqualifyingmedicationsthat
havebeenenteredintoPharmaNet:
withinthelastsixmonths,andbeforethemedicationreviewserviceisprovided*
>>SeeDeterminingpatienteligibilityqualifying
medicationsfordetails.
*Qualifyingmedicationscanbeenteredinto
PharmaNetonthedayofthemedicationreviewservice
iftheyareenteredbeforetheclaimforthemedication
reviewissubmitted.
Haveaclinicalneedforservice >>SeeDeterminingpatienteligibilityclinicalneedfor
details.
Havenotexceededtheallowablenumberof
medicationreview
services
>>SeeDeterminingpatienteligibilityallowable
numberof
medication
review
services
for
details.
Pharmacistsareresponsibleforcheckingthepatients
PharmaNetrecordforpriorservices.
SigntheacknowledgementontheBestPossible
MedicationHistoryform
>>SeeObtainingpatientacknowledgement fordetails.
Determiningpatienteligibilityqualifyingmedications
IndividualDINsandPINsmaybecountedonlyonce. AqualifyingmedicationisoneofthefollowingthathasbeenenteredintoPharmaNet:
AprescriptionmedicationAnonprescriptionmedicationAnutritionalsupplement(e.g.,cysticfibrosisnutritionalsupplementscoveredunderPlanD)AprivatelyorpubliclyfundedinjectionsuchasavaccinationNote:PrivatelyfundedinjectionsarerecordedinthepatientsprofilewithaDIN;publiclyfunded
injectionsarerecordedwithaPIN.
Acompoundedmedication(withadiscretePIN)
-
8/12/2019 Revised Medication Review Services Policy
3/20
PharmaceuticalServicesDivision|MinistryofHealth Page13of33
Determiningpatienteligibilitynon-qualifyingproductsandservices
Productsthatdonotqualifyinclude: prescriptionswithaDiscontinuedstatusinPharmaNetprescriptionsthathavebeenreversedinPharmaNetprescriptionswithaNotFilledstatusinPharmaNetnondrugsupplies,includingbutnotlimitedto:
bloodglucosetestingsupplies(strips,lancets,needles) insulinpumpsandpumpsupplies(e.g.,infusionkits) medicalsupplies(e.g.,orthoses,prostheses,gloves)
Determiningpatienteligibilityclinicalneed
Whendeterminingapatientseligibilitytoreceivemedicationreviewservices,clinicalneedmustbeidentifiedandclearlydocumentedasoneormoreofthefollowing:
prescriberhasrequestedamedicationreviewpatienthasmultiplediseasespatienthasoneormorechronicdiseasespatientsmedicationregimenincludesoneormorenonprescriptionmedicationspatientsmedicationregimenincludesoneormorenaturalhealthproducts(NHPs)patienthasadrugtherapyproblempatientwasrecentlydischargedfromhospitalpatienthasmultipleprescriberspatientisreceivingmedication(s)thatrequirelaboratorymonitoring
The
seven
types
of
drug
therapy
problems
(DTPs)
are:
1. unnecessarydrug2. needsadditionaldrug3. ineffectivedrug4. dosagetoolow5. dosagetoohigh6. adversedrugreaction7. patientselfmanagement(nonadherence)thatis,thepatientisnottakingthedrugappropriately.
Determiningpatient
eligibilityallowable
number
of
medication
review
services
Eligiblepatientsmayreceivecoveragefor: eitheroneMedicationReviewStandard(MRS)oroneMedicationReviewPharmacistConsultation(MRPC)service(butnotboth)every6months,and
uptofourMedicationReviewFollowUp(MRF)servicesevery12months.>>Forspecificeligibilityrequirementsforeachmedicationreviewservice,refertotheRequired
ActivitiesforMRS,RequiredActivitiesforanMRPC,and2RequiredActivitiesforanMRF.
-
8/12/2019 Revised Medication Review Services Policy
4/20
PharmaceuticalServicesDivision|MinistryofHealth Page14of33
Patientswhoreceivemedicationreviewservicesfromdifferentpharmaciesarestillsubjecttothecoveragelimitsdescribedabove(i.e.,coveragelimitsareperpatientnotperpharmacy).
Toensurecoverageisavailable,pharmacistsshouldreviewapatientsPharmaNetprofiletodeterminewhetherthepatienthasreachedtheirmaximumnumberofallowablemedicationreview
servicesbeforetheyconductthemedicationreview.
Medicationreviewserviceclaimsinexcessofthemaximumallowablewillnotbereimbursedeveniftheclaimsaresubmittedbydifferentpharmacies.
PharmaNetcannotrejectmedicationreviewserviceclaimsinexcessofthemaximumallowableatthetimeofsubmission.Theseclaimsareadjudicatedinmonthlybatches.Anyclaimsinexcessofthe
maximumallowablefoundatthattimewillbedisallowed.
2Documentingmedicationreviewservicedelivery
PharmaCarerequirespharmaciesthatsubmitaclaimformedicationreviewservicestoretainspecificdocumentationtosupporttheirclaim.
Documentingmedicationreviewservices:providesauditableproofthataneligiblemedicationreviewserviceoccurredprovidespatients,caregivers,andotherhealthcareprofessionalswithaccurate,complete,andcurrentinformationaboutapatientsmedications.
ThethreeformsPharmaCarerequiresforuseindocumentingmedicationreviewservicesare:BestPossibleMedicationHistory(BPMH),including:
PatientsectionHealthCareProfessionalssection
Requiredforallmedicationreviewservices
DrugTherapyProblemform(DTPform) Requiredwheneverapharmacistidentifies
and/or
takes
action
to
resolve
a
patients
DTP
BestPossibleMedicationHistoryWorksheet Optional
Eachoftheseformsservesadifferentpurpose.Asaresult,pharmacistsmustcompletealltherequiredformsforaspecificmedicationreviewservice.TheRequiredDocumentationsubsection
ofeachmedicationreviewsectiondetailsthedocumentsrequired.
ThecontentoftheseformsconstitutestheminimumacceptabledocumentationrequiredforPharmaCarecoverageofamedicationreviewserviceclaim.Ifthesedocumentationrequirementsare
notmet,theassociatedclaimissubjecttorecovery.
>>Fordetails,seetheRequiredDocumentationsectionforeachmedicationreviewservice:MRS
RequiredDocumentation,
MR
PC
Required
Documentation,
and
MR
FRequired
Documentation.
PharmaCareprovidestemplatesforallmedicationreviewservicesforms.Pharmaciesmayusethetemplatestorecordrequiredinformation(seeFormtemplatesunderToolsandResourcesbelow)or
createtheirownforms.
PharmaciesthatcreatetheirownformsmustensurethoseformscontainallthetextandfieldtitlesaswellasallthefieldsshowninthePharmaCareversion.Fordetails,seeIfyouarecreatingyourown
forms.
-
8/12/2019 Revised Medication Review Services Policy
5/20
PharmaceuticalServicesDivision|MinistryofHealth Page15of33
Documentretentionandstorage
Documentsmustberetainedinthesamemannerasotherpatientrecords.>>Formoreinformation,seethePharmaCarePolicyManual,Section10Audit.
3Obtainingpatientsignatureinacknowledgementsection
PharmaCarecoversmedicationreviewservicesonlyifthepatientortheirlegalrepresentativesignstheacknowledgementontheBestPossibleMedicationHistory(BPMH)formattheconclusionofthe
medicationreviewservice.
Wheneversomeoneelseisactingonapatientsbehalf,thepharmacymustretaindocumentationofthatpersonsrighttoactasthepatientslegalrepresentative.
Foreachmedicationreviewserviceprovided,thepatientortheirlegalrepresentativemustsignacknowledgementontheBestPossibleMedicationHistory(BPMH)form.
Note:TheHealthProfessionsAct(HPA)andPharmacyOperationsandDrugSchedulingAct(PODSA)
bylawsstatethat,forpurposesofcontinuityofcare,pharmacistscanshareinformationabouta
patient
with
other
healthcare
professionals
within
the
circle
of
care
without
having
to
obtain
specific
consentfromthepatienttodoso.
>>SeeHPABylaws,section71(UseofPersonalInformation)andsection72(DisclosureofPersonal
Information)andPODSABylaws,section21(2)(DataCollection,TransmissionofandAccessto
PharmaNetData)andsection22(Confidentiality).
4Claimingmedicationreviewservicesfees
Pharmaciesmustnotrequestoracceptadditionalfeesorpaymentsfromanypatientorthirdpartypayerinrelationtoamedicationreviewserviceforwhichafeewill,orhasbeen,claimedfrom
PharmaCare.
Onlyonefee(i.e.,MRS,MRPCorMRFfee)canbeclaimedforeachserviceappointment. ThemaximumPharmaCarereimbursesforacombinationofmedicationreviewservices,clinicalservices,oradministrationofvaccinesonthesamedayfromthesamepharmacyis$70.
Example:IfapharmacyclaimsanMRPC,thatpharmacycannotbereimbursedforanyotherserviceonthatdayorifapharmacysubmitsaclaimforanMRS,atherapeuticsubstitutionand
administrationofavaccineonasingleday,onlytheMRSandvaccineadministrationwillbeeligible
forreimbursement.
Toensuremaximumreimbursement,andtopreservetheaccuracyofthepatientsmedicationhistory,
please
submit
all
claims
whether
or
not
you
expect
the
claim
to
be
reimbursed.
Ifapharmacysubmitsclaimsonseparatedaysforthepurposeofcircumventingthispolicy,anyreimbursementinexcessofthe$70limitissubjecttorecovery.
>>SeeMRSClaimsforPayment,MRPCClaimsforPayment,andMRFClaimsforPayment.
http://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_96183_01http://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_96183_01http://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_96183_01http://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_96183_01http://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_96183_01http://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_96183_01http://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdf -
8/12/2019 Revised Medication Review Services Policy
6/20
PharmaceuticalServicesDivision|MinistryofHealth Page16of33
Requiredactivitiesforallmedicationreviewservices
Whenpharmacistschoosetodelivermedicationreviewservices,allthreetypesofmedicationreviewservicesmustbe:
providedbyanauthorizedpharmacistorpharmacystudentunderthesupervisionofanauthorizedpharmacist.
providedasaoneonone,inpersonappointment(andnotbytelephoneoranyotherelectronicmeans),
providedinasuitableareathatthepatientacceptsasrespectfuloftheirrighttoprivacy,andprovidedanddocumentedinaccordancewiththespecificrequirementsofthispolicy.
>>Fordetailsonrequiredactivitiesforeachservicetype,seeMRSRequiredActivities,MRPCRequired
Activities,andMRFRequiredActivities.
Documentingmedicationreviewservicesthatarenoteligibleforreimbursement
PharmacistswhoconductamedicationreviewserviceforapatientwhodoesnotmeetthePharmaCareeligibilityrequirementsareencouragedtocreatearecordofserviceinPharmaNet.
UsetheMedicationReview NonBenefitPIN99000504and,intheSIGfield,enterthe10digitphonenumberofthepharmacywheretheservicetookplacetorecordtheservice.
Theclaimwillnotbepaid,butthepatientsPharmaNetrecordwillindicatetootherhealthcareprofessionalsthatamedicationhistoryisavailable.
PoliciesandrequiredactivitiesforeachmedicationreviewservicecoveredbyPharmaCare
Thissectionincludesrequiredactivitiesfor:MedicationReviewStandard(MRS)Medication
ReviewPharmacist
Consultation
(MR
PC)
MedicationReviewFollowUp(MRF)MedicationReviewStandard(MR-S)
RequiredActivities
ForanMRStobeeligibleforPharmaCarereimbursement,thefollowingactivitiesmustbecarriedout
andtheirresultsdocumentedineachoftherequiredform(s).
RequiredActivity Documenttheactivityresultsin
1
Confirm
the
patient
meets
all
the
criteria
in
1Determining
patienteligibility,underPoliciesapplicabletoallmedication
reviewservices.
No
documentation
required.
2 Ifthepatientmeetsalleligibilityrequirements,documentthe
patientinformationgatheredinStep1above.
Patientsectionof
BPMHWorksheet(optional)BPMH
3 Documenttheclinicalneed(s)thatarethereason(s)forproviding
theservice.
ClinicalNeedforServicesectionofBPMH
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc -
8/12/2019 Revised Medication Review Services Policy
7/20
PharmaceuticalServicesDivision|MinistryofHealth Page17of33
RequiredActivity Documenttheactivityresultsin
4 Collectanddocumentinformationaboutpatientmedicalissues
suchasknownallergiesandreactions.Informationiscollected
frommultiplesourcesincludingbutnotlimitedto:
PharmaNetprofile localpharmacymedicationprofile interviewwithpatientortheirlegalrepresentativehospitaldischargesummaries
ClinicalInformationsectionofBPMHWorksheet(optional)
Ifapplicable,KnownAllergiesandReactionssectionofthe1BPMH
5 Collectanddocumentallpertinentinformationaboutthe
patientscurrentandrecentlydiscontinuedmedications
(includingprescriptionmedications,nonprescriptionmedications,
andnaturalhealthproducts).Collectinformationfrom:
PharmaNetprofile localpharmacymedicationprofile interviewwithpatientortheirlegalrepresentativeprescriptionmedication,nonprescriptionmedicationornaturalhealth
product
labels
hospitaldischargesummariesotheravailablerecordsDeterminewhetherthepatientiscurrentlytakingeachmedication
andhowtheyaretakingit.
Documentanyclinicallyrelevantmedicationsthepatientisno
longertaking.
ClinicalInformationandAdditionalMedicationssectionsofBPMH
Worksheet(optional)
MedicationsITake,CurrentMedicationsand,ifapplicable,
ClinicallyRelevantMedicationsThe
PatientIsNoLongerTakingsections
oftheBPMH
6 Discuss,review,anddocumentthedetailsofeachmedicationthe
patientiscurrentlytakingwiththepatientortheirlegal
representative,including:
what
medication
the
patient
is
taking
(e.g.,
the
name,
strength,
andformofmedication)
whythepatientistakingeachmedication(e.g.,whatdisease,conditionorsymptomsthemedicationalleviates/controls)
howbesttotakeeachmedication(e.g.,whentotakeit,howtotakeit,warnings,etc.)
anyspecialinstructions
MedicationsITakeandCurrentMedicationssectionofthe1BPMH
7 Documentallinformationrelevanttocontinuityofcare(e.g.,
detailsaboutdecisions,evaluations,plansofaction,andother
directionsorobservations).
NOTE:IfadrugtherapyproblemisidentifiedduringanMRS,the
pharmacistis
professionally
responsible
for
taking
action
by
workingtoresolvetheissueorbyreferringthepatienttoan
appropriatehealthcareprofessional.Ifthepharmacisttakesaction
toresolvetheissueandcompletesoneormoreDTPforms,aclaim
foranMRPCmaybesubmittedinsteadofaclaimforanMRS.
ForMRPCrequiredactivitydetails,seeMRPCRequiredActivities.
HealthCareProfessionalssectionoftheBPMH(includingPrescriber
Name,Verified,Action,andNotes
segments)
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc -
8/12/2019 Revised Medication Review Services Policy
8/20
PharmaceuticalServicesDivision|MinistryofHealth Page18of33
RequiredActivity Documenttheactivityresultsin
8 Ensureallformsarefullycompleted,includingthenameand
RegistrationIDofthepharmacist,andthecontactinformationfor
thepharmacy,providingtheservice(toenablehealthcare
professionalstorequestthepatientsinformation).
Pageheadersof BPMHWorksheet(optional) 1BPMH
9 Obtainsignatureofpatientortheirlegalrepresentativeinthe
PatientAcknowledgement
section
of
the
BPMH.
Ifsomeoneelseisactingonthepatientsbehalf,obtain
documentationofthatpersonsrighttoactasthepatientslegal
representative.
Retainthesignedoriginalforyourrecords.
PatientAcknowledgementsectionof
BPMH,
signed
and
dated
by
patientortheirlegalrepresentative
Ifapplicable,documentationofanotherpersonsrighttoactasthe
patientslegalrepresentative
10 ProvideacopyofthecompletedandsignedPatientsectionofthe
BPMHtothepatientortheirlegalrepresentative.
ItisnotnecessarytoprovidetheBPMHHealthCareProfessionals
sectiontothepatient.Itisdesignedforusebycliniciansonly.
CopyofcompletedandsignedPatientsectionofthe1BPMH
11
Store
all
documents
together
for
future
reference.
(For
details,
seePharmaCarePolicyManual,Section10Audit).
BPMHWorksheet(ifused) 1BPMH(original,signedbypatientortheirlegalrepresentative)
Ifapplicable,documentationofanotherpersonsrighttoactasthe
patientslegalrepresentative
12 Submitthemedicationreviewserviceclaimonthedateofservice
delivery,usingtheappropriatePIN.
Thisensuresotherpharmaciesknowthatyouhavedeliveredthe
servicetothepatientandmakestheclinicalinformationavailable
tootherhealthcareprovidersinatimelyfashion.
>>See
Submitting
Claims
for
the
appropriate
PIN
and
data
entry
instructions.
MRSclaimonPharmaNet
13 Whenyoureceivearequestformedicationreviewinformation
fromahealthcareproviderwithinthepatientscircleofcare:
FaxacopyoftheBPMHPatientInformationandHealthCareProfessionalssectionstotherequestorassoonaspossible.
Recordtherequestorsnameandcontactinformation,thedateonwhichtherequestwasmade/fulfilledandthename(s)ofthe
formsthatweresharedinyourfiles.
FaxedcopyoftheentireBPMH(mandatory)
Recordofrequest
Required
Documentation
TosupportyourclaimforanMRSservice,retainthefollowingdocumentationinamanneraccessibleforaudit:
completedBPMHoriginal,signedanddatedbypatientortheirlegalrepresentative ifapplicable,documentationofanotherpersonsrighttoactasthepatientslegalrepresentative awrittenrecordofanyrequestsforacopyofapatientsBPMH
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc -
8/12/2019 Revised Medication Review Services Policy
9/20
PharmaceuticalServicesDivision|MinistryofHealth Page19of33
ClaimsforPayment
Foraneligiblepatient,thepharmacycansubmitaclaimtoPharmaCarefora$60MRSfee. TheclaimmustbesubmittedonPharmaNetonthedatethemedicationreviewserviceisprovidedtothepatient.
SubmittheclaimusingtheappropriatePINandtheCollegeRegistrationIdentification(RegID)ofthepharmacist
who
provided
the
service
to
the
patient.
Thepharmacymustenterthe10digitpharmacyphonenumberinthefirst20spacesandinfrontofanyotherinformationthatappearsintheSIGfieldonthepatientsPharmaNetprofiletofacilitate
continuityofcareandsharingoftheBPMHwithinthecircleofcare.
>>Fordetails,seeSubmittingclaimsforpayment.
>>Forinformationonclaimlimits,seePoliciesApplicabletoAllMedicationReviewServices,
4Claimingmedicationreviewservicesfees.
MedicationReviewPharmacistConsultation(MR-PC)
RequiredActivities
ForanMRPCtobeeligibleforPharmaCarereimbursementthefollowingactivitiesmustbecarriedoutandtheresultsdocumentedineachoftherequiredform(s).
RequiredActivity Documenttheactivityresultsin
1 EnsurethepatientmeetsthecriteriaforanMRPC.Thepatient
must:
meetallthepatienteligibilitycriteriadefinedin1Determiningpatienteligibility,underPoliciesapplicableto
allmedicationreviewservices,and
havehadaminimumofonedrugtherapyproblem(DTP)identified,resolved,anddocumentedduringthecourseofthe
medicationreviewservice.
Nodocumentationrequired.
2 Ifthepatientmeetstheeligibilityrequirements,document
patientinformationgatheredinStep1above.Patientsectionof
BPMHWorksheet(optional)BPMHDTPForm
3 Documenttheclinicalneed(s)thatarethereason(s)forproviding
theservice.
ClinicalNeedforServicesectionofBPMH
4
Collectand
document
information
about
patient
medical
issues
suchasknownallergiesandreactions.Informationiscollected
frommultiplesourcesincludingbutnotlimitedto:
PharmaNetprofile localpharmacymedicationprofile interviewwithpatientortheirlegalrepresentativehospitaldischargesummaries
ClinicalInformationsectionofBPMHWorksheet(optional)Ifapplicable,KnownAllergiesandReactionssectionofthe1BPMH
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc -
8/12/2019 Revised Medication Review Services Policy
10/20
PharmaceuticalServicesDivision|MinistryofHealth Page20of33
RequiredActivity Documenttheactivityresultsin
5 Collectanddocumentallpertinentinformationaboutthe
patientscurrentandrecentlydiscontinuedmedications
(includingprescriptionmedications,nonprescriptionmedications
andnaturalhealthproducts).Collectinformationfrom:
PharmaNetprofile localpharmacymedicationprofile interviewwithpatientortheirlegalrepresentativeprescriptionmedication,nonprescriptionmedicationornaturalhealthproductlabels
hospitaldischargesummariesotheravailablerecordsDeterminewhetherthepatientiscurrentlytakingeachmedication
andhowtheyaretakingit.
Documentanyclinicallyrelevantmedicationsthepatientisno
longertaking.
ClinicalInformationandAdditionalMedicationssectionsofBPMH
Worksheet(optional)
MedicationsITake,CurrentMedicationsand,ifapplicable,
ClinicallyRelevantMedicationsThe
PatientIs
No
Longer
Taking
sectionsoftheBPMH
6
Discuss,review,
and
document
the
details
of
each
medication
the
patientiscurrentlytakingwiththepatientortheirlegal
representativeincluding:
whatmedicationsthepatientistaking(e.g.,thename,strengthandformofmedication)
whythepatientistakingeachmedication(e.g.,whatdisease,conditionorsymptomsthemedicationalleviates/controls)
howbesttotakeeachmedication(e.g.,whentotakeit,howtotakeit,warnings,etc.)
anyspecialinstructions
MedicationsITakeandCurrentMedicationssectionsofthe1BPMH
7 Documentallinformationrelevanttocontinuityofcare
(e.g.,details
about
decisions,
evaluations,
plans
of
action,
and
otherdirectionsorobservations).
HealthCareProfessionalssectionofthe
BPMH
(including
Prescriber
Name,
Verified,Action,andNotessegments)
8 Documenttheidentificationofandactionstaken/tobetakento
resolveaminimumofoneDTP.
Workwiththepatientto:
identifytheDTP(s),prepareacareplantoresolveeachDTP, implementthecareplan,andmakeaplantomonitorandfollowuponresults.Document
all
DTP
related
decisions,
plans,
and
actions
decided
uponduringtheappointment.Notify(and,ifnecessary,
collaboratewith)themostresponsiblephysicianorother
prescriberabouttheDTP,careplan,andresultsachieved.
HealthCareProfessionalssectionoftheBPMH(includingPrescriberName,
Verified,Action,andNotessegments)
DTPform(s)(oneformforeachDTP)MedicationsITakeSpecialInstructionssectionofthe1BPMH
9 Ensureallformsarefullycompleted,includingthenameand
RegistrationIDofthepharmacist,andthecontactinformationfor
thepharmacy,providingtheservice(toenablehealthcare
professionalstorequestthepatientsinformation).
Pageheadersof
BPMHWorksheet(optional) 1BPMH DTPform(s)
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh-worksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh-worksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh-worksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh-worksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc -
8/12/2019 Revised Medication Review Services Policy
11/20
PharmaceuticalServicesDivision|MinistryofHealth Page21of33
RequiredActivity Documenttheactivityresultsin
10 Obtainsignatureofpatientortheirlegalrepresentativeinthe
PatientAcknowledgementsectionoftheBPMH.
Ifsomeoneelseisactingonthepatientsbehalf,obtain
documentationofthatpersonsrighttoactasthepatientslegal
representative.
Retainthe
signed
original
for
your
records.
PatientAcknowledgementsectionofBPMH,signedanddatedbypatientor
theirlegalrepresentative
Ifapplicable,includedocumentationofanotherpersonsrighttoactasthe
patientslegalrepresentative.
11 ProvideacopyofthecompletedandsignedPatientsectionofthe
BPMHtothepatientortheirlegalrepresentative.
CopyofcompletedandsignedPatientsectionofthe1BPMH
12 Storealldocumentstogetherforfuturereference.(Fordetails,
seePharmaCarePolicyManual,Section10Audit).
BPMHWorksheet(ifused) 1BPMH(original,signedbypatientortheirlegalrepresentative)
DTPform(s) Ifapplicable,includedocumentationofanotherpersonsrighttoactasthe
patientslegalrepresentative.
13 Submitthemedicationreviewserviceclaimonthedateofservice
delivery,usingtheappropriatePIN.
Thisensuresotherpharmaciesknowthatyouhavedeliveredthe
servicetothepatientandmakestheclinicalinformationavailable
tootherhealthcareprovidersinatimelyfashion.
>>SeeSubmittingClaimsfortheappropriatePINanddataentry
instructions.
MRPCclaimonPharmaNet
14 Whenyoureceivearequestformedicationreviewinformation
fromahealthcare
provider
within
the
patients
circle
of
care:
FaxacopyoftheBPMHtotherequestorassoonaspossibleRecordtherequestorsnameandcontactinformation,thedateonwhichtherequestwasmade/fulfilled,andthename(s)ofthe
formsthatweresharedinyourfiles
FaxedcopyoftheBPMH(mandatory)FaxedcopyofDTPform(s)(optional,atpharmacistsdiscretion)
Recordofrequest
RequiredDocumentation
TosupportyourclaimforanMRPCservice,retainthefollowingdocumentationinamanneraccessibleforaudit:
completedBPMHoriginal,signedanddatedbypatientortheirlegalrepresentative aseparateDTPformforeachDTP ifapplicable,documentationofanotherpersonsrighttoactasthepatientslegalrepresentative ifapplicable,awrittenrecordofanyrequestforacopyofapatientsBPMHand/orDTPform(s)
http://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.doc -
8/12/2019 Revised Medication Review Services Policy
12/20
PharmaceuticalServicesDivision|MinistryofHealth Page22of33
ClaimsforPayment
Foreligiblepatients,thepharmacycansubmitaclaimtoPharmaCarefora$70MRPCfee. If,duringtheMRPC,aDTPhasbeenresolvedbyanactionthathasaseparatelydefinedPharmaCareservicefee(e.g.,administrationofinjectionsand/oradaptationsofprescriptions),thepharmacymay
submittheclaimsasusual,butwillbereimbursedtoamaximumof$70.
TheclaimmustbesubmittedonPharmaNetonthedatethemedicationreviewserviceisprovidedtothepatient.
Thisensuresotherpharmaciesknowthatyouhavedeliveredtheservicetothepatientandmakesthe
clinicalinformationavailabletootherhealthcareprovidersinatimelyfashion.
SubmittheclaimusingtheappropriatePINandtheCollegeRegistrationIdentification(RegID)ofthepharmacistwhoprovidedtheservicetothepatient.
Thepharmacymustenterthe10digitpharmacyphonenumberinthefirst20spacesandinfrontofanyotherinformationthatappearsintheSIGfieldonthepatientsPharmaNetprofiletofacilitate
continuityofcareandsharingoftheBPMHand,ifapplicable,DTPForm(s)withinthecircleofcare.
>>Fordetails,seeSubmittingclaimsforpayment.
>>Forinformationongeneralclaimlimits,seePoliciesApplicabletoAllMedicationReviewServices,
4Claimingmedicationreviewservicesfees.
MedicationReviewFollow-Up(MR-F)
RequiredActivities
ForanMRFtobeeligibleforPharmaCarereimbursementthefollowingactivitiesmustbecarriedoutandtheirresultsdocumentedineachoftherequiredform(s).
RequiredActivity
Document
the
activity
results
in
1 EnsurethepatientmeetsthecriteriaforanMRF.Thepatient
must:
meetallthepatienteligibilitycriteriadefinedin1Determiningpatienteligibility,underPoliciesapplicabletoallmedication
reviewservices,and
havealreadyreceivedacompleteMRSorMRPCwithinthelastyear,and
haveaclinicalneedthatrequireseither followupduetoasubsequentmedicationchange(thatis,achange
in
medication
that
is
entered
on
PharmaNet),
or
followuptoimplementand/orevaluatethepatientresponsetotheactiontakentoresolveaDTP.
Nodocumentationrequired.
2 Ifthepatientmeetsalleligibilityrequirements,documentpatient
informationgatheredinStep1above.
Patientsectionof BPMHWorksheet(optional) BPMH DTPForm(s)(ifapplicable)
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc -
8/12/2019 Revised Medication Review Services Policy
13/20
PharmaceuticalServicesDivision|MinistryofHealth Page23of33
RequiredActivity Documenttheactivityresultsin
3 Documentthereason(s)forprovidingtheMRFservice:thatis,
patientsmusthaveaclinicalneedthatrequiresthefollowing:
followupduetoasubsequentmedicationchange(thatis,achangeinmedicationthatisenteredonPharmaNet),or
followuptoimplementand/orevaluatethepatientresponsetothe
action
taken
to
resolve
aDTP
ClinicalNeedforServicesectionofBPMH
4 Ifappropriate,reviewandupdateinformationaboutpatient
medicalissuessuchasknownallergiesandreactions.Information
iscollectedfrommultiplesourcesincludingbutnotlimitedto:
PharmaNetprofile localpharmacymedicationprofile interviewwithpatientortheirlegalrepresentativehospitaldischargesummaries
ClinicalInformationsectionofBPMHWorksheet(optional)
Ifapplicable,KnownAllergiesandReactionssectionofanewBPMH
5 Iftheserviceisafollowupduetoasubsequentmedication
change(i.e.,achangeinmedicationthatisenteredon
PharmaNet):
speakwiththepatienttoreview,correct,orupdateinformationandimprovethepatientsunderstandingaboutthosechanges
including:
whatmedicationsthepatientistaking(e.g.,thename,strength,andformofmedication)
whythepatientistakingeachmedication(e.g.,whatdisease,conditionorsymptomsthemedicationalleviates/controls)
howbesttotakeeachmedication(e.g.,whentotakeit,howtotakeit,warnings,etc.)
completeanewBPMHPatientsectionupdatethepatientspreviousBPMHHealthCareProfessionalssectionorgenerateanewone.
RelevantsectionsoftheBPMH
6 Iftheserviceisafollowuptoimplementand/orevaluateprogress
towardsresolvingthepatientsDTP(s):
reviewandevaluatethepatientsprogresswiththeirdrugtherapyproblemplanand,ifnecessary,modifytheplantohelp
thepatientreachtheirgoals
completeanewBPMHPatientsectionupdatethepatientspreviousBPMHHealthCareProfessionalsSectionorgenerateanewone
UpdateeachpreviousDTPformwithnewinformationorgenerate
anew
one
for
each
DTP.
Relevantsectionsof: anewBPMHPatientsectionand aneworupdatedBPMHHealthCareProfessionalsSection
NeworupdatedDTPform(s)(oneformforeachDTP)
7 Documentallinformationrelevanttocontinuityofcare(e.g.,
detailsaboutdecisions,evaluations,plansofaction,andother
directionsorobservations).
HealthCareProfessionalssectionoftheneworupdatedBPMH(including
PrescriberName,Verified,Action,and
Notessegments)
http://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.doc -
8/12/2019 Revised Medication Review Services Policy
14/20
PharmaceuticalServicesDivision|MinistryofHealth Page24of33
RequiredActivity Documenttheactivityresultsin
8 Ensureallformsarefullycompleted,includingthenameand
RegistrationIDofthepharmacist,andthecontactinformationfor
thepharmacy,providingtheservice(toenablehealthcare
professionalstorequestthepatientsinformation)
Pageheadersof BPMHWorksheet(optional) 1BPMH DTPform(s)(ifapplicable)
9
Obtain
signature
of
patient
or
their
legal
representative
in
the
PatientAcknowledgementsectionoftheBPMH.
Ifsomeoneelseisactingonthepatientsbehalf,obtain
documentationofthatpersonsrighttoactasthepatientslegal
representative.
Retainthesignedoriginalforyourrecords.
PatientAcknowledgementsectionofBPMH,signedanddatedbypatientortheirlegalrepresentative
Ifapplicable,includedocumentationofanotherpersonsrighttoactasthe
patientslegalrepresentative.
10 Provideacopyofthenew,completedandsignedPatientsection
oftheBPMHtothepatientortheirlegalrepresentative.
Copyofnew,completedandsignedPatientsectionofthe1BPMH
11 Storealldocumentstogetherforfuturereference.(Fordetails,
seePharmaCare
Policy
Manual,
Section
10Audit).
BPMHWorksheet(ifused) 1BPMH(original,signedbypatientortheirlegalrepresentative)
DTPform(s)(ifapplicable)Ifapplicable,includedocumentationofanotherpersonsrighttoactasthe
patientslegalrepresentative.
12 Submitthemedicationreviewserviceclaimonthedateofservice
delivery,usingtheappropriatePIN.
Thisensuresotherpharmaciesknowthatyouhavedeliveredthe
servicetothepatientandmakestheclinicalinformationavailable
tootherhealthcareprovidersinatimelyfashion.
>>SeeSubmittingClaimsfortheappropriatePINanddataentry
instructions.
MRFclaimonPharmaNet
13 Whenyoureceivearequestformedicationreviewinformation
fromahealthcareproviderwithinthepatientscircleofcare:
FaxacopyoftheBPMHtotherequestorassoonaspossibleRecordtherequestorsnameandcontactinformation,thedateonwhichtherequestwasmade/fulfilled,andthename(s)ofthe
formsthatweresharedinyourfiles
FaxedcopyoftheBPMH(mandatory)FaxedcopyofDTPform(s)(optional,atpharmacistsdiscretion)
Recordofrequest
RequiredDocumentation
TosupportyourclaimforanMRFservice,retainthefollowingdocumentationinamanneraccessibleforaudit:
newBPMHPatientInformationsection,originalsignedbythepatientortheirlegalrepresentativeneworupdatedversionoftheBPMHHealthCareProfessionalssection, ifapplicable,aneworupdatedDTPformforeachDTP ifapplicable,documentationofanotherpersonsrighttoactasthepatientslegalrepresentative
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc -
8/12/2019 Revised Medication Review Services Policy
15/20
PharmaceuticalServicesDivision|MinistryofHealth Page25of33
ifapplicable,awrittenrecordofanyrequestforacopyofapatientsBPMHand/orDTPforms iftheoriginalMRSorMRPCservicewasprovidedatanotherpharmacy,thepharmacyprovidingtheMRFservicemustobtainacopyofthePharmaCarerequireddocumentationforthepatients
mostrecentMRSorMRPC.
Ifinformationismissingfromthepreviouspharmacysdocumentation,thecurrentpharmacyshouldensurethatallinformationrequiredforthecurrentMRFisobtained,documentedand
retainedin
their
records.
ClaimsforPayment
Foreligiblepatients,thepharmacistcansubmitaclaimtoPharmaCarefora$15MRFfee. EitheranMRSoranMRPCmusthavebeenclaimedforthepatientwithinthepreviousyear. Amaximumof4MRFclaimscanbemadeinthe12monthperiodfollowingtheMRSorMRPC. Forinformationongeneralclaimlimits,seePoliciesApplicabletoAllMedicationReviewServices,4Claimingmedicationreviewservicesfees.
TheclaimmustbesubmittedonPharmaNetonthedateofthemedicationreviewservice.Thisensuresotherpharmaciesknowthatyouhavedeliveredtheservicetothepatientandmakesthe
clinicalinformationavailabletootherhealthcareprovidersinatimelyfashion.
SubmittheclaimusingtheappropriatePINandtheCollegeRegistrationIdentification(RegID)ofthepharmacistwhoprovidedtheservicetothepatient.
Thepharmacymustenterthe10digitpharmacyphonenumberinthefirst20spacesandinfrontofanyotherinformationthatappearsintheSIGfieldonthepatientsPharmaNetprofiletofacilitate
continuityofcareandsharingoftheBPMHand,ifapplicable,DTPForm(s)withinthecircleofcare.
>>Fordetails,seeSubmittingclaimsforpayment.
Procedures
SubmittingClaims
ClaimsformedicationreviewservicesmustbesubmittedonPharmaNetonthedateofthemedicationreview,usingtheappropriatePIN,asshownbelow.
ThePINandthepaymentamountforeachserviceareasfollows:PIN Description PaymentAmount
99000501
MedicationReview
Standard
(MR
S)
$60.00
99000502 MedicationReviewPharmacistConsultation(MRPC) $70.00
99000503 MedicationReviewFollowUp(MRF) $15.00
-
8/12/2019 Revised Medication Review Services Policy
16/20
PharmaceuticalServicesDivision|MinistryofHealth Page26of33
Tosubmitaclaimforamedicationreviewservice:1. IntheDaysSupplyfield,enter1
2. IntheQuantityfield,enter1.
3. IntheDrugCostfield,enter0.
EnteringzerointheDrugCostfieldensuresthefeedoesnotinadvertentlyappearonthe
patientsreceipt.
4. IntheDIN/PINfield,entertheappropriatePIN.
5. IntheSIGfield,inthefirst20spacesinthefieldandinfrontofanyotherinformationthat
appearsinthefield,enterthe10digitphonenumber(includingareacode)ofthepharmacy
wheretheservicetookplace.Otherhealthcareprofessionalswillusethisnumbertocontactyou
torequestpatientinformation.
Ifthepharmacyphonenumberisnotenteredinthefirst20charactersoftheSIGfield,theclaim
willnotbereimbursed.
6.In
the
Prescriber
ID
field,
enter
the
College
Registration
Identification
(Reg
ID)
of
the
pharmacist
whoprovidedtheservicetothepatient.
Consultyoursoftwarevendortodetermineanyotherrequirementsforpaymentreconciliation.
PharmaNetResponseCodeforMedicationReviewServiceClaims
Claimsformedicationreviewservicesareprocessedforpaymentinmonthlybatchesratherthaninrealtime.Whenaclaimforamedicationreviewserviceissubmitted,PharmaNetreturnsoneof
severalrejectionresponses(e.g.,CD patientnotentitledtodrugclaimed).Theseadjudication
messagesfromPharmaNetcanbeignored.
Donotreverseorresubmitclaimsinresponsetoadjudicationmessages.Ifthedatahasbeenenteredcorrectlyintherequestedfields,theclaimswillbeprocessedforpayment.
ReconcilingPayments
PleasecallthePharmaNetHelpDeskaboutspecificclaims.ThePharmaNetHelpDeskhasaccesstopaymentandclaimdetailsandcanemailthesedetails(withpatientidentifiersremoved).
Audit
AllclaimstoPharmaCarearesubjecttoauditandanyamountassociatedwithadisallowedclaimwillberecovered.
>>For
information
on
PharmaCare
audit
policies,
see
the
PharmaCare
Policy
Manual,
Section
10
Audit.
http://www.health.gov.bc.ca/pharmacare/pdf/11contacts.pdf/http://www.health.gov.bc.ca/pharmacare/pdf/11contacts.pdf/http://www.health.gov.bc.ca/pharmacare/pdf/11contacts.pdf/http://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/11contacts.pdf/ -
8/12/2019 Revised Medication Review Services Policy
17/20
PharmaceuticalServicesDivision|MinistryofHealth Page27of33
MedicationReviewServicesForms
BestPossibleMedicationHistory(BPMH)
Purpose ThepurposeoftheBestPossibleMedicationHistory(BPMH)isto createarecordthataneligibleserviceepisodeoccurred,and providepatients,caregivers,andotherhealthcareprofessionalswithaccurate,complete,andcurrentinformationaboutapatientsmedications.
TheBPMHincludestwosections:thePatientsectionandtheHealthCareProfessionalssection.
ThePatientsectionoftheBPMHisacomprehensivelistofallprescriptionmedications,nonprescriptionmedications,andnaturalhealthproductsthepatientiscurrentlytaking
onaregularorasneededbasis.
Thissectionoftheformisprovidedtothepatientaftertheirmedicationreviewiscompleted.
TheHealthCareProfessionalssectionoftheBPMHprovidesaprofessionalsummaryofinformationcollectedduringthereviewsuitableforsharingwithotherhealthcare
professionals.
Itactsastherecordofcareprovided(i.e.,recordofthepatientscurrentanddiscontinued
medications,
along
with
changes,
decisions,
and
recommendations
made
bythepharmacist).
Thissectionoftheformisnotintendedforthepatient.Thissectionmayincludeinformationsuitableonlyforclinicians.Keepitonfileavailabletosharewithother
healthcareprofessionalsuponrequest.
Whento
completeform
ForeveryMRSorMRPCappointmentforwhichaclaimwillbesubmittedtoPharmaCare,completeanewBPMHPatientsectionandanewBPMH HealthCare
Professionalssection
ForeveryMRFappointmentforwhichaclaimwillbesubmittedtoPharmaCare,completeanewBPMHPatientsectionandaneworupdatedBPMH HealthCare
Professionalssection.
Formcontents
Allcontent(i.e.,text,fields,andfieldlabels)includedintheBestPossibleMedicationHistorytemplateismandatoryandmustbeincludedinanypharmacycreatedforms.SeeIfyouarecreatingyourownform(s).
http://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.doc -
8/12/2019 Revised Medication Review Services Policy
18/20
PharmaceuticalServicesDivision|MinistryofHealth Page28of33
Noteson
completingthe
form
Allfieldsonallpagesmustbecompletedunlessotherwiseindicated.SeetheBPMHtemplatefortheformfields.
ISITLEGIBLE?TheintentoftheBPMHPatientSectionistogivethepatient(ortheir
familyorcaregiver)aclear,writtenrecordofyourdiscussion.
Tomakesureyourdirectionsandcommentsareeasyforthepatienttoread,usethe
tipsbelow.
TIPSFOR
CLARITY:
Makesuretheinformationonthehandwrittenorprintedformislargeenoughforthosewithvisionproblems.
Printratherthanwrite.Usesimplelanguage: DonotuseLatinorotherabbreviationsnotcommonlyusedbypatients Refertoconditionsorsymptomsusingthesamewordsthepatientusesduringtheirappointment
EnsurethatthepatientortheirlegalrepresentativesignsanddatesthePatientAcknowledgementsectionoftheBPMH.
On
every
page
of
the
form,
include
the:
servicedeliverydate nameandRegIDofthepharmacistwhoprovidedtheservice:
iftheservicewasdeliveredbyapharmacystudentorintern,providethenameofthepharmacistwhosupervisedthesession
iftheappointmentisafollowupandtheserviceisdeliveredbyadifferentpharmacist,addthepharmacistnameandRegIDaftertheoriginalpharmacistsID
contactinformationforthepharmacy patientsname,PHN,anddateofbirth
Optionalfieldsincludespecialinstructions.Completeifapplicable.Complete
all
fields
related
to
clinically
relevant
medications
that
have
been
stopped,
if
theinformationisavailable.
Ifthepatientistakingmorethaneightmedications,addadditionalrowstotheMedicationsITakeandCurrentMedicationssectionsasnecessary,orcomplete
additionalforms.
http://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.doc -
8/12/2019 Revised Medication Review Services Policy
19/20
PharmaceuticalServicesDivision|MinistryofHealth Page29of33
DrugTherapyProblemform(DTPform)
Purpose TheDrugTherapyProblemformisarecordofallinformationassociatedwiththeidentification,resolution,followupcare,andcommunicationforaDTPidentifiedduring
aMedicationReviewPharmacistConsultationserviceappointment.
Thisformmaybesharedwithhealthcareprofessionalswithinthepatientscircleofcareatthepharmacistsdiscretion.
Whentocomplete
form
AformmustbecompletedwheneveraDTPhasbeenidentifiedandresolved.AseparateformmustbecompletedforeachDTP.ForeveryMRPCappointmentforwhichaclaimwillbesubmittedtoPharmaCare,completeaDTPforminadditiontotheBPMHPatientsectionandBPMHHealthCare
Professionalssection.
Ifapplicable,foreveryMRFappointment,whenimplementingand/orevaluatingprogresstowardsresolvingthepatientsDTP,forwhichaclaimwillbesubmittedto
PharmaCare,updateeachpreviousDTPformwithnewinformation(orgenerateanew
oneforeachDTP)inadditiontocompletinganewBPMHPatientsectionandanewor
updatedBPMHHealthCareProfessionalssection.
Formcontents Pharmacistsmaydesigntheirownversionoftheform;seeIfyouarecreatingyourownform(s)forrequirements.
Allcontent(i.e.,text,fieldsandfieldlabels)includedintheDrugTherapyProblemformtemplateismandatoryandmustbeincludedinanypharmacycreatedforms.SeeIfyou
arecreatingyourownform(s).
Noteson
completingthe
form
Allfieldsonallpagesmustbecompletedunlessindicatedotherwise;seetheDTPformtemplatefortheformfields.
Ifaformisillegible,theassociatedclaimwillbesubjecttorecovery.Oneverypageoftheform,includethe: servicedeliverydateifupdatinganexistingformduringafollowupappointment,addthenewservicedeliverydateaftertheinitialservicedate.
nameandRegIDofthepharmacistwhoprovidedtheservice:if
the
service
was
delivered
by
a
pharmacy
student
or
intern,
provide
the
name
of
thepharmacistwhosupervisedthesession
iftheappointmentisafollowupandtheserviceisdeliveredbyadifferentpharmacist,addthepharmacistsname,andRegIDaftertheinitialpharmacistsID
contactinformationforthepharmacy patientsname,PHN,anddateofbirth
Optionalfieldsincludenotification.Completeifapplicable.
http://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.doc -
8/12/2019 Revised Medication Review Services Policy
20/20
PharmaceuticalServicesDivision|MinistryofHealth Page30of33
BestPossibleMedicationHistoryWorksheet(BPMHWorksheet)
Purpose TheBestPossibleMedicationHistoryWorksheetisanoptionalformthatpharmacistscanusetogather,record,andreviewthepatientsmedicationinformationbeforethe
medicationreviewappointment.
TheWorksheetcomplieswithallrequirementsforpharmacyprintingofthePharmaNetMedicationReconciliationReport.
Whentocomplete
form
Thisformmaybeusedasastartingpointforgatheringinformationbeforeamedicationreview
service
appointment.
Useofthisformisoptional.Formcontents ThecontentsofthisformarefoundintheBestPossibleMedicationHistoryWorksheet
template.
Pharmacistsmaydesigntheirownversionoftheform;seeIfyouarecreatingyourownform(s)forrequirements.
Noteson
completingthe
form
N/A
Ifyou
are
creating
your
own
form(s)
PharmaCareprovidesformtemplatesthatcontaintheminimumdocumentationrequirementsforclaimingafeeforamedicationreviewservicefromPharmaCare.
Anypharmacythatchoosestocreatetheirownversionsofthemedicationreviewservicesformsmustensurethattheseminimumrequirementsaremet;thatis,eachformmustcontainallthetext
andfieldsinthePharmaCaretemplates.
Thewordingofthetextandfieldlabelsmustnotbechanged. Claimsformedicationreviewserviceswillbereimbursedonlywhentheformscontainallrequiredtext,fields,andfieldlabels.Whentheformsdonotmeettheseminimumrequirements,claimswill
besubjecttorecovery.
Tools&Resources
FormTemplates
BestPossibleMedicationHistory(BPMH)Worksheet BestPossibleMedicationHistory(BPMH) DrugTherapyProblemform(DTPform)
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc