To participate in the 340B Drug Program, eligible organizations and covered entities must register and be enrolled with the 340B program and comply with all program requirements. The main goal of this course is to provide information on the subtleties of the 340B program and how it can impact revenues at a Federally Qualified Health Center (FQHC) and FQHC Look-Alike programs. This course covers all of the nuances within the program, including duplicate discounting, patient definitions, and more. You also will learn how these issues can impact the fiscal performance of a Health Center. Using interactive exercises and case vignettes, you will learn how to apply your knowledge of these requirements in your own setting.
Section 1: Introduction to the 340B Drug Program A. About This Course B. Learning Objectives Section 2: Introduction to the 340B Program A. Meet Juanita B. Juanita’s Out-of-Pocket Expenses C. Juanita’s Likely Outcome D. What Is the 340B Program? E. Compliance with the 340B Program F. Does Insurance Coverage Matter? G. What Entities Are Eligible for the Program? H. Which Patients Are Eligible for the Program? I. Which Prescriptions Are Eligible for the Program? J. Remember Juanita? K. Summary Section 3: Setting Up Your 340B Program A. Enrollment Window B. Enrollment and Registration Steps C. Benefit Considerations D. Quick Check E. Startup Costs F. Operations Costs G. Other Real Considerations H. Contract Pharmacy Considerations I. Quick Check J. Contracting Checklist K. Nuances of the Registration Process L. Meet Tariq M. Summary Section 4: Remaining 340B Compliant A. Requirements of the Program B. Why Is Compliance Important? C. Self-Audit Best Practices D. Compliance: In-House Pharmacies E. Compliance: Contract Pharmacies F. Review G. Summary Section 5: Conclusion A. Summary B. Course Contributors C. Resources D. References E. Congratulations!
Naju Madra, M.A. is an internal subject matter expert and clinical content writer for Relias' Behavioral Healthcare library. She earned her Master's degree in Psychology with specific study in neuropsychological assessment for children with Fetal Alcohol Spectrum Disorders. She brings with her a wealth of experience in clinical assessment, along with expertise in large-scale clinical research project management, recruitment, training, as well as in-person and web-based curriculum development.Instructor: David P. Wagner, M.H.C.M.
In addition to scholarly activities such as writing manuals and preparing manuscripts for peer-reviewed journals, Ms. Madra has over 15 years of behavioral healthcare experience ranging from crisis counseling and job coaching for individuals with severe mental illness and co-occurring disorders, to community college instruction, and trauma specialist at the Veterans Health Administration. In her current role, Ms. Madra has contributed authorship to over 100 behavioral healthcare course offerings for both licensed and non-licensed professionals in the Health & Human Services market.Disclosure: Naju Madra, M.A. has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
David P. Wagner, M.H.C.M. is a fiscal and administrative specialist for HRSA in the Operational Site Visit Review process, as well as a provider of technical assistance to Health Centers through his own firm FQHC Consultants, Inc. Mr. Wagner has his Master's degree in Health Care Management. He brings with him a wealth of experience in all areas of Health Center operations, including clinical operations, finance, billing and collections, governance, administration, quality improvement, strategic planning, service coordination, as well as contracting and direct provision. Mr. Wagner has over 30 years of experience in operations of Health Centers including presenting on numerous topics for state and national primary care associations, thereby assisting Health Centers in remaining compliant with program requirements and sustaining operations. Disclosure: David P. Wagner, M.H.C.M. has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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