A graphic representation of the prior 12 months’ (if available) Medicaid medication paid claims data is now available in browser in the “RN+Allied Tab” and is titled “COACH Adherence.” These reports are triggered by an upcoming appointment and are uploaded the night before any scheduled appointment. While same-day, walk-in, or urgent care appointments would not trigger a report, check if these patients, however, might have pre-existing reports from a previous appointment.
The information is only from Medicaid paid claims; duals’ (have both Medicare and Medicaid coverage) medication coverage is through Medicare Part D so no paid Medicaid claims would be available. The data in the report gives insight into medication possession, not ingestion.
This information from the report is always available through the provider portal. Don’t add meds before checking to see your patient is getting what is prescribed! Next will be an iPhone app to see what your patient is actually taking!