NOTICE OF PUBLIC HEARING AND COMMENT PERIOD
Chapter DHS 105 & 107
Clearinghouse Rule Number CR 24-047
NOTICE IS HEREBY GIVEN that the Department of Health Services (“the Department”) will hold a public hearing
on a permanent rule, to repeal, amend and create DHS 105 & 107, relating to pharmacist certification and
reimbursement for patient care services through Medical Assistance (MA).
HEARING INFORMATION
Date and Time
August 26, 2024
1:00 - 2:00 CST
Location
Microsoft Teams Meeting
https://teams.microsoft.com/l/meetupjoin/
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mOTAtYTI1ZjYzOWYyNjIw%40thread.v2/0?context=%7b
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4eb2-9e6b-d759968e9cbf%22%7d
Meeting ID: 292 044 740 403
Password: hGZnzv
Dial In Number: +1 608-571-2209,,399157806#
ANALYSIS AND TEXT OF THE RULE
Analysis of the rule and the proposed rule text may be accessed at:
https://docs.legis.wisconsin.gov/code/misc/chr/lc_ruletext/cr_24_047_rule_text_filed_with_lc_clearinghouse.pdf
PLEASE NOTE: The most recent version of the proposed rule text may be obtained by accessing:
Active Rulemaking Projects: https://www.dhs.wisconsin.gov/rules/active-rulemaking-projects.htm
ACCESSIBILITY
English
The Department of Health Services is an equal opportunity employer and service provider. If you need
accommodations because of a disability or need an interpreter or translator, or if you need this material in another
language or in an alternate format, you may request assistance to participate by contacting Allie Merfeld at 608-267-
4029. You must make your request at least 7 days before the activity.
Spanish
The Department of Health Services es una agencia que ofrece igualdad en las oportunidades de empleo y servicios. Si
necesita algún tipo de acomodaciones debido a incapacidad o si necesita un interprete, traductor o esta información en
su propio idioma o en un formato alterno, usted puede pedir asistencia para participar en los programas comunicándose
con Allie Merfeld al número 608-267-4029. Debe someter su petición por lo menos 7 días de antes de la actividad.
Hmong
The Department of Health Services yog ib tus tswv hauj lwm thiab yog ib qhov chaw pab cuam uas muab vaj huam sib
luag rau sawv daws. Yog koj xav tau kev pab vim muaj mob xiam oob qhab los yog xav tau ib tus neeg pab txhais lus
los yog txhais ntaub ntawv, los yog koj xav tau cov ntaub ntawv no ua lwm hom lus los yog lwm hom ntawv, koj yuav
tau thov kev pab uas yog hu rau Allie Merfeld ntawm 608-267-4029. Koj yuav tsum thov qhov kev pab yam tsawg
kawg 7 hnub ua ntej qhov hauj lwm ntawd.
FISCAL ESTIMATE-ECONOMIC IMPACT ANALYSIS
The fiscal estimate and economic impact analysis for the rule is available at: https://docs.legis.wisconsin.gov/code/misc/chr/lc_ruletext/cr_24_047_fiscal_estimate_and_economic_impact_analysis.pdf
PUBLIC COMMENTS AND DEADLINE FOR SUBMISSION
Comments may be provided at the hearing, or submitted to the Department until the end of business August 26, 2024, by:
1. Accessing the Department’s Administrative Rules website:
Active Rulemaking Projects: https://www.dhs.wisconsin.gov/rules/active-rulemaking-projects.htm
2. Submitting a comment through the Wisconsin State Legislature’s website: http://docs.legis.wisconsin.gov/code/chr/comment.
3. Mailing written comments to:
Allie Merfeld
Division of Medicaid Services
P.O. Box 309
Madison, WI 53701-0309
alexandra.merfeld@dhs.wisconsin.gov
INITIAL REGULATORY FLEXIBILITY ANALYSIS
The proposed rule may have an effect on small businesses, as defined under s. 227.114. Section 49.46 (2) (bh), Stats., which was created by 2021 Wis. Act 98 (“Act 98”), directs the department to provide reimbursement for services that are reimbursable under s. 49.46 and provided by a licensed pharmacist within the scope of his or her license or performed under s. 450.033, Stats. Section 450.033, Stats., permits a pharmacist to “perform any patient care services delegated to the pharmacist by the physician . . . .” Under the proposed rule, a pharmacist who performs these services, the must keep records of: (a) The name and license number of any physician who is delegating services to the pharmacist; (b) The name and license number of the pharmacist who is entering into the agreement; (c) The specific timeframe for which the agreement is in effect; (d) The patient or groups of patients eligible to receive delegated services under the agreement; (e) The delegated services that the pharmacist may perform; (f) The process for the physician or designee of the physician to monitor compliance with the delegation agreement by the pharmacist; (g) The process for how the delegated services provided by the pharmacist will be documented or included in the patient’s health record; (h) The signature and date of any physician delegating services; and (i) The signature and date of the pharmacist entering into the agreement. The proposed rule changes have the potential to impact Medical Assistance providers that are small businesses. These providers have the opportunity to provide some covered services in a pharmacy, which expands the pool of potential members and services provided. These providers may also experience increased competition from larger providers providing similar covered services. While all providers are required to follow the same requirements, the Department included a number of requirements with the intent to reduce the burden on small business providers such as expanding the pool of potential members and services provided beyond that traditionally available for in-person services.
SMALL BUSINESS REGULATORY REVIEW COORDINATOR
Allie Merfeld
Division of Medicaid Services
P.O. Box 309
Madison, WI 53701-0309
alexandra.merfeld@dhs.wisconsin.gov
608-267-4029
AGENCY CONTACT PERSON
Allie Merfeld
Division of Medicaid Services
P.O. Box 309
Madison, WI 53701-0309
alexandra.merfeld@dhs.wisconsin.gov
608-267-4029
Reasonable accommodations, including the provision of informational material in an alternative format, will be provided for qualified individuals with disabilities upon request. This agency, to the maximum extent possible, holds all meetings in facilities that are physically accessible to persons with disabilities. For questions about accessibility, contact the meeting's sponsoring division.