This self-paced introductory course provides an engaging overview of Medicaid drug benefit operations, regulations and key concepts. Designed for new staff, it combines short videos, interactive quizzes, and practical examples to build a strong foundational understanding. Participants will gain insights into the basics of Medicaid drug benefits and coverage.
Duration: 1 hour
CEU credits in the Medicaid_Expert progam: 1
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Who is this class for?
Staff new to the HHS and Medicaid space.
What will I learn?
The course covers these key questions:
1. What is Medicaid, and who does it serve?
2. How is Medicaid funded and structured between federal and state governments?
3. Why is Medicaid important for the pharmaceutical industry?
4. How does Medicaid drug coverage differ from commercial plans?
5. What is the Medicaid Drug Rebate Program and why was it created?
6. What do AMP and Best Price mean in the context of Medicaid?
7. How are rebates calculated and reported?
8. What compliance risks exist for manufacturers in the MDRP?
9. What is a Preferred Drug List (PDL), and how does it relate to formularies?
10. How do states determine coverage and prior authorization requirements?
11. What role do Pharmacy Benefit Managers (PBMs) play in state Medicaid?
12. How can manufacturers engage effectively with states around formulary placement?
13. What recent policy changes are affecting Medicaid pharmacy programs?
14. How are states using value-based purchasing in drug coverage?
15. What role does health equity play in Medicaid pharmacy policy?
16. What are future opportunities for pharma manufacturers in the Medicaid space?
How do I get access to this course?
Access to this course is included in the learner experience services purchased by your organization.
