: Modernizing Medicaid Reduction and Program Enhancements> question for the east

[Guest guest]

Hello, I have a question for the counselors on the eastcoast. Does your

medicaid program cover SPK transplants or PAK transplants. We received a

call from a patient who stated that she resides in upstate NY. And that

Medicaid in her state did not cover pancreas/kidney transplant. She is not

eligible for Medicare. Here at UC San Francisco it is covered through our

version of Medicaid called Medi-cal. After informing her that this is a

benifit for residents of this state and we were not contracted without of

state Medicaid.

She spoke of relocating and then returning to New York State for post Tx Rx

coverage from NY medicade. Naturally this was not encouraged. I told her

she should check other programs near her and that I would try to see if I

could find out if SPK/PAK was covered anywhere on the east coast?

Thank you

Ann Reilly-Le Duc [reillya@ surgery.ucsf.edu]

Financial Counselor - Pre transplant

UCSF Kidney/ Pancreas Service

350 Parnassus, Box 0116 Rm 805

SF, CA 94143

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>Reply-To: TxFinancialCoordinators

>To: TxFinancialCoordinators

>Subject: Fwd: Keynote Panel Discussion:

>Modernizing Medicaid — The Need for Spending Reduction and Program

>Enhancements

>Date: Fri, 17 Feb 2006 09:26:04 -0500

>

>

>>

>>

>>Register by March 17, 2006 and SAVE $300 on Your Registration Fee!*

>>

>>CBI's 8th Annual

>>

>>Medicaid Rebates

>>

>>• The Latest Insight on Proposed Medicaid Reform

>>

>>• Strategies to Ensure Pricing and Reporting Compliance

>>

>>• Updates on State Cost-Containment Initiatives

>>

>> May 11-12, 2006 * Hilton Walt Disney World Hotel * Orlando, FL

>>

>><https://www.cbinet.com/requestBrochure.cfm?confCode=HB649 & field=brochure>Requ\

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>>KEYNOTE PANEL DISCUSSION

>>

>>Modernizing Medicaid — The Need for Spending Reduction and Program

>>Enhancements

>>This panel addresses some of the pending program changes and the overall

>>evolution of the Medicaid Drug Rebate Program. Hear insight into the

>>evolution of Medicaid Rebates, and learn about changes in benefits,

>>beneficiaries and program structure. Topics addressed include:

>> * Elimination of “best price” from the Medicaid rebate program and the

>>shift to a single flat rebate

>> * Expansion of program eligibility after “duals” shift to Medicare

>> * Program design changes and a reduction of benefits

>> * Extension of Medicaid Rebates to Managed Care

>> * Integrating healthcare IT in the Medicaid program

>> * Expansion of Medicaid managed care and increased MCO participation

>>

>>Moderator:

>>Vern , Ph.D., Principal, Health Management Associates

>>

>>Panelists:

>>Tom Arnold, Deputy Secretary for Medicaid, Florida

>>

>> Atkins, Commissioner for the Bureau for Medical Services, Department

>>of Health and Human Resources, West Virginia

>>

>>Barbara , Former Deputy Director, Office of Ohio Health Plans, Ohio

>>Department of Job and Family Services

>>

>>Mark Trail, Chief, Medical Assistance Plans, State of Georgia

>>

>>

>>

>>Outstanding Faculty also includes:

>>

>>Additional Insights from:

>> Atkins, Commissioner for the Bureau for Medical Services, Department

>>of Health and Human Resources, West Virginia Baxter, Director,

>>Medicaid Market & Rebate Management, & Kathleen King,

>>Director of Health Care, Government Accountability Office Meehan,

>>United States Attorney, Eastern District of Pennsylvania Dennis ,

>>Director, Centers for Medicaid and State Operations, Centers for Medicare

>>and Medicaid Services (Invited) Tudor, Ph.D., Acting Director of

>>the Medicare Drug Benefit Group, Centers for Medicare and Medicaid

>>Services

>>

>>Amylin Pharmaceuticals

>>

>>Eli Lilly & CO

>>

>>Forest Labs

>>

>>National Governors Association

>>

>>Oklahoma Health Care Authority

>>

>>Reliant Pharmaceuticals, Inc.

>>

>>Sankyo Pharma Inc.

>>

>>sanofi-aventis

>>

>>Stiefel Laboratories

>>

>>State of Delaware

>>

>>State of Utah

>>

>>

>>Advanced Content Includes:

>>

>>PLUS! Choose from Two Pre-Conference Workshops on

>>Thursday, May 11, 2006:

>>Timely updates from CMS on the Part D rollout and the transition of the

>>dual-eligibles The latest on Congressional Medicaid reform and its impact

>>on your business Insight and guidelines on price determination methods for

>>statutory price calculations and reporting Strategies for efficient

>>management of claims processing, submissions and resubmissions Compliance

>>plans and fraud and abuse guidelines Significant Medicaid program changes

>>underway at the state level

>>

>>A. Government Price Reporting —

>>Achieve Compliance and Accuracy in

>>Medicaid Price Determination Methods

>>

>>B. Pricing and Contracting

>>Implications of the Competitive

>>Acquisition Program (CAP)

>>

>>Featuring a Pre-Conference Seminar on Wednesday, May 10, 2006:

>>An Introduction to the Medicaid Rebate Program

>>“Best Medicaid 101 program I have seen!” – 2005 Seminar Attendee, Bob

>>Brown, Contract and Pricing Advisor, Amgen

>>

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