Policy/Procedure Number: MPRP4020 (previously RP100420) Lead Department: Health Services Policy/Procedure Title: Restricted Status for Members Receiving External Policy Prescription Medications Internal Policy Next Review Date: 02/13/2020 Original Date: 04/25/1994 Last Review Date: 02/13/2019 Applies to: Medi-Cal Employees IQI P & T QUAC Reviewing Entities: OPerations Executive Compliance Department BOARD COMPLIANCE FINANCE PAC Approving Entities: CEO COO Credentialing DEPT. DIRECTOR/OFFICER Approval Signature: Approval Date: 02/13/2019 Robert L. Moore, MD, MPH, MBA RELATED POLICIES: Investigating & Reporting Fraud, Waste and Abuse – IMPACTED DEPTS.: Member Services Grievances and Appeals Pharmacy Department Compliance DEFINITIONS: N/A ATTACHMENTS: PURPOSE: To describe the process for members to be placed on restricted status for receiving prescription medications. POLICY / PROCEDURE:
Policy/Procedure Number: MPRP4020 (previously RP100420) Lead Department: Health Services Policy/Procedure Title: Restricted Status for Members Receiving Prescription Medications External Policy Internal Policy Original Date: 04/25/1994 Next Review Date: 02/13/2020 Last Review Date: 02/13/2019 Applies to: Medi-Cal Employees Reviewing Entities: IQI P & T QUAC OPerations Executive Compliance Department Approving Entities: BOARD COMPLIANCE FINANCE PAC CEO COO Credentialing DEPT. DIRECTOR/OFFICER Approval Signature: Robert L. Moore, MD, MPH, MBA Approval Date: 02/13/2019 RELATED POLICIES: – Investigating & Reporting Fraud, Waste and Abuse IMPACTED DEPTS.: Member Services Grievances and Appeals Pharmacy Department Compliance DEFINITIONS: N/A ATTACHMENTS: PURPOSE: To describe the process for members to be placed on restricted status for receiving prescription medications. POLICY / PROCEDURE: