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    Contraception Prescribing

    Contraception Training Programs

    Please click on the individual program to access the training curriculum

        COMPREHENSIVE CONTRACEPTIVE EDUCATION &
        CERTIFICATION FOR THE MARYLAND PHARMACIST
    2. Maryland Pharmacists Association​
    3. Wegman's
    7. Comprehensive Contraception Training for the KPMAS
    8. Kaiser Permanente Mid-Atlantic States
     
     

     


     

    Contraception Training Program Submission

    All training program submissions must be submitted for approval by email or UPS to:
    Deena Speights-Napata
    Executive Director, Maryland Board of Pharmacy
    4201 Patterson Avenue
    Baltimore, MD 21215
     

     Maryland Medicaid Contraception Prescriber Enrollment

    Maryland Medicaid Enrollment: Pharmacist Contraception Prescriber Protocol
     
    Effective January 1, 2019, qualified pharmacists and pharmacies may enroll with Maryland Medicaid as a Pharmacist Prescriber provider type. In order for Medicaid to reimburse providers for these services, a pharmacy must take three steps:
     
    1) The pharmacy must obtain a new type 2 National Provider Identifier (NPI) through the National Plan and Provider Enumeration System (NPPES) for the location it intends to enroll as a Pharmacist Prescriber. The NPPES website is https://nppes.cms.hhs.gov.
    2) The pharmacy will enroll as a group pharmacist prescriber and need to affiliate with at least one qualified pharmacist in order to submit the application.
    3) The individual qualified pharmacist must enroll as a Pharmacist Prescriber renderer. Please note: Any individual pharmacist who does not have a type 1 NPI will need to obtain one in order to apply as a Pharmacist Prescriber. 
     
    Once enrolled, Pharmacist Prescribers may bill for the patient assessment rendered in order to determine whether to prescribe contraceptives and which contraceptive to prescribe. To be reimbursed for the patient assessment, the Pharmacist Prescriber provider type must bill via a CMS-1500 form. Pharmacies should NOT bill Conduent for the patient assessment.
     
    Pharmacy providers who intend to participate as Pharmacist Prescribers should visit health.maryland.gov/providerinfo for more information about how to enroll and bill for these services.
     
    Please direct any specific questions you may have regarding your participation in Maryland Medicaid as a pharmacist prescriber to MDH.pharmacistenrollment@maryland.gov
                                                 

     

    Maryland Insurance Administration

    To become credentialed as a participating provider for health care services, the pharmacist should contact the carrier and complete the Uniform Credentialing Form, which can be used for any carrier.
    Carriers will have their own claims processes, but are required to accept standard claims forms. For health care services, this will usually be the CMS 1500. The claims submission address often appears on the back of the member's identification card.
     
    For provider complaints or questions relating to credentialing or claims payment the contact person is Mary M. Kwei, Chief, L&H Complaints, Maryland Insurance Administration, 200 St. Paul Place, Ste. 2700, Baltimore, MD  21202, 410-468-2224.

     

    Please view the forms we have available for prescribing contraceptions below:

     

    Maryland Contraception Prescribing Forms
    Maryland Self-Assessment Form
    Maryland Summary Form
    Maryland Summary Form – Optional Supplement
    Algorithm
    Contraception Training Notification Form
     FY20 Family Planning Sites​
    PDF