Professional Dispensing Fee survey

Welcome » April 25, 2024 11:41 PM

	Alerts
	Change Healthcare (CHC) has begun submitting some batch X12 electronic transactions to ForwardHealth. The volume of backlogged claims held by CHC and the amount of time it will take CHC to send them is unknown. Once claims are acquired from CHC, ForwardHealth will process them in the order received. Visit the Change Healthcare Service Interruption: Resources page for more information on the security incident and for ForwardHealth resources. Multi-factor authentication (MFA) is now required for the secure ForwardHealth Portal. Providers are encouraged to refer to the ForwardHealth Multi-Factor Authorization Instruction Sheet for help setting up MFA preferences. Providers may contact their Portal account administrator or call the ForwardHealth Portal Help Desk at 866-908-1363. Note: This is a project-specific announcement and is not related to the Change Healthcare disruption.

Professional Dispensing Fee Survey

Because the Covered Outpatient Drugs Final Rule impacted current covered outpatient drug reimbursement policy, including dispensing fee reimbursement, ForwardHealth contracted with a health care consulting firm, Mercer, to conduct the Professional Dispensing Fee survey in June 2016. The survey was used to obtain necessary information on the costs associated with dispensing covered outpatient drugs to ForwardHealth members. ForwardHealth used the data collected from the Professional Dispensing Fee survey to determine its proposed professional dispensing fees.

Based on the data collected from the Professional Dispensing Fee survey, ForwardHealth initially proposed changes to its outpatient drug reimbursement policies:

Refer to the March 2017 ForwardHealth Update (2017-07), titled "Changes to Billing and Reimbursement Policy for Covered Outpatient Drugs," with the billing and drug reimbursement policies effective April 1, 2017.

Professional Dispensing Fee Survey Letters

About | Contact | Disclaimer | Privacy Notice

Wisconsin Department of Health Services

Production PROD_WIPortal2_M948__5

Browser Tab ID: 1 -1