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Pharmaceutical Benefits Under State Medical Assistance Programs, 2002

Pharmaceutical Benefits Under State Medical Assistance Programs, 2002

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Overview of Pharmaceutical Benefits Under State Medical Assistance Programs from 2002.
Overview of Pharmaceutical Benefits Under State Medical Assistance Programs from 2002.

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Published by: National Pharmaceutical Council on Nov 21, 2008
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Pharmaceutical Benefits Under State Medical  Assistance Programs
2002
Published by the National Pharmaceutical Council, Inc. 1894 Preston White Drive Reston, VA 20191-5433
 © 
2003 by the National Pharmaceutical Council
 
 This compilation of data on State Medical Assistance Programs (Title XIX)  presents a general overview of the characteristics of State programs, together with detailed information on the pharmaceutical benefits provided. The data collection effort covers all States with Medicaid programs and the District of Columbia. Information for this compilation was acquired from multiple sources, including a survey of Medicaid prescription drug programs administered for the National Pharmaceutical Council by Muse & Associates, Washington, DC with assistance from Compensation Solutions, LLC and StateScape. While we have checked all secondary data in the book for consistency relative to the original source, we have not validated the original data reported by the Centers for Medicare and Medicaid Services (CMS) and other organizations. The data were compiled and the book prepared for publication by Donald Muse, Ph.D., David Goldenberg, Ph.D., Anne Marie Hummel, Steven Heath, M.P.A., Stanley Weintraub, C.P.A, Daniel B. Gurley, M.P.A., Errica Philpott, Liz Segall, and Tiffany Crawford of Muse & Associates. Paul Gavejian and Philip Farber of Compensation Solutions prepared and conducted the 2001 survey. James Elliott at StateScape supervised the compilation of information on State officials, State professional associations, and expanded drug programs for elderly and disabled beneficiaries. Gary Persinger and Kimberly Dietrich of the National Pharmaceutical Council provided valuable input and support, including the conceptualization of the methodology used in Section 1.
 
Pharmaceutical Benefits 2002 National Pharmaceutical Council v
INTRODUCTION
The year 2002 edition of
 Pharmaceutical Benefits under State Medical  Assistance Programs
 marks the 37
th
 year that the National Pharmaceutical Council (NPC) has published this unique source of information on pharmacy  programs within the State Medical Assistance Programs (Title XIX). Over the years, this “Medicaid Compilation” of statistics has become a standard reference in government offices, research libraries, consultancies, the pharmaceutical industry, and numerous businesses. The data used to create each edition of the Compilation are assembled from many sources. The “Medicaid Compilation” incorporates information on each State pharmacy program from an annual NPC survey of State Medicaid program administrators and pharmacy consultants, statistics from the Centers for Medicare and Medicaid Services (CMS), and information from other Federal agencies and other organizations. Each year, finding and compiling current, relevant information for inclusion in the Compilation presents a challenge. Updating the data for the 2002 Compilation was no exception. For example, in previous versions of the Compilation, a main data source was the HCFA-2082, an annual report providing State-reported data on Medicaid  population characteristics, service utilization, and expenditures during a Federal fiscal year. Historically, States summarized and reported data processed through their Medicaid claims processing and payment operations unless they opted to  participate in the Medicaid Statistical Information System (MSIS) project. Prior to Federal fiscal year 1999, MSIS was a voluntary program where States  participating in the MSIS project provided data tapes from their claims  processing systems to CMS in lieu of the HCFA-2082 tables. In accordance with the Balanced Budget Act of 1997, all claims processed on or after January 1, 1999, had to be submitted electronically in the MSIS format and the HCFA-2082 ceased to be a Federal reporting requirement. This new requirement resulted in major difficulties in the submission of data to CMS by some States and in the preparation of summary tables for FY 1999 and later by CMS. At press time, CMS has released MSIS data for 2000, which are included in this year’s Compilation. However, CMS has only released MSIS data for 2001 for a subset of states, and partial data are included in Appendix B as appropriate. The U.S. Bureau of the Census has also lagged behind its normal schedule for release of annual population and demographic data due to data processing  problems. Although a few tables showing total population counts by State for 2001 are available, the bulk of the more detailed data for 2001 have yet to be released. Discussions with Census Bureau staff indicate that the additional 2001 data will not become available until sometime during 2003, at the same time that data for 2002 are scheduled for release. Data availability and the challenges of compiling relevant information have led us to examine all available data sources and to select, from among the alternatives, those data that, in our opinion, best represent the current snapshot of

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