What are the required counseling components of OBRA-90?
The federal statute had several major components: 1) Prospective Drug Use Review, 2) Retrospective Drug Use Review, 3) Assessment of Drug Use Data, and 4) Educational Outreach Programs.
How did OBRA-90 change requirements for counseling?
OBRA-90 also required states to establish standards governing patient counseling. In particular, pharmacists must offer to discuss the unique drug therapy regimen of each Medicaid recipient when filling prescriptions for them.
What is OBRA-90 law?
The federal Omnibus Budget Reconciliation Act of 1990 (OBRA-90) established a new condition of participation for federally funded and state-managed Medicaid programs. OBRA-90 establishes standards for state Medicaid programs and not for pharmacists.
Why is OBRA-90 important to the dispensing of medications?
Patient counseling standards include describing the medication and its effects, as well as discussing proper dosage, storage, and possible side effects. The main goal of the OBRA ’90 is to make sure Medicaid patients take their medication safely and to help reduce Medicaid costs.
Why was OBRA 90 passed?
The Omnibus Budget Reconciliation Act of 1990 (OBRA-90; Pub. L. 101–508, 104 Stat. 1388, enacted November 5, 1990) is a United States statute enacted pursuant to the budget reconciliation process to reduce the United States federal budget deficit.
What is OBRA pricing?
Pricer Program Usage OBRA ’90 requires fee-for-service carriers to use Medicare Part A pricing limits in adjudicating claims for inpatient services provided to retirees and their spouses/survivors age 65 and over who were never eligible/enrolled in Medicare Part A.
What did the Omnibus Budget Reconciliation Act of 1993 do?
The act increased the top federal income tax rate from 31% to 39.6%, increased the corporate income tax rate, raised fuel taxes, and raised various other taxes. The bill also included $255 billion in spending cuts over a five-year period.
What did the Omnibus Budget Reconciliation Act of 1990 do?
1388, enacted November 5, 1990) is a United States statute enacted pursuant to the budget reconciliation process to reduce the United States federal budget deficit. The Act included the Budget Enforcement Act of 1990 which established the “pay-as-you-go” or “PAYGO” process for discretionary spending and taxes.
What is OBRA 93 law?
For the most part, the new law limits the ability of elders to transfer their assets to their adult children or to trusts known as ‘Medicaid Qualifying Trusts’ in order to qualify for Medicaid. …
What is an OBRA 93 trust?
An OBRA ’93 Trust is a trust funded with assets within the legal control of a person with disabilities, and which, at the death of such person, a payback to the state or states that provided medical assistance (Medicaid/Public Aid) paid in accordance with the applicable federal medical assistance program (Medicaid …
How many hours of instruction does OBRA require at a minimum?
75 hours
The Act specifies that certified nurses’ aids must have at least 75 hours of classroom instruction, plus practical experience under the supervision of the schools’ instructors and be evaluated by state boards of nursing before they are allowed to work in skilled nursing facilities.