Pharmaceutical Care Management (PCM) in Iowa Medicaid
PCM is a service where doctors and pharmacists work together to manage medications for Medicaid members who are at high risk for medication-related problems. This team-based approach helps improve medication safety by using a care model proven to work well in hospitals and clinics, where providers share access to patient records.
The program started in 2000 with support from the Iowa Legislature and was developed by a group of doctors and pharmacists. Its goal is to improve how medications are used for high-risk Medicaid patients.
To learn more or become a PCM provider, contact Rachel Digmann, Pharm.D., BCPS, at 515-273-8876.
Who provides Iowa Medicaid Pharmaceutical Care Management?
Pharmacists providing this service must have an Iowa license in good standing and have completed professional training regarding patient-oriented medication-related problem prevention and resolution. This training can be obtained by completion of a Doctor of Pharmacy or completing a course from the Iowa Center for Pharmaceutical Care. The pharmacy or office where PCM services will be provided must have an area that allows private consultation.
Who is eligible for Iowa Medicaid Pharmaceutical Care Management?
Members, who are dual eligible, do not qualify for PCM services. Additionally, if a member has Medicaid only at the time of application for PCM then later becomes eligible for Medicare; the member is no longer eligible to receive PCM services. The pharmacy or pharmacist providing PCM services should notify the member of this change.
Additional Resources
Iowa Medicaid Pharmaceutical Forms for Providers:
- Pharmaceutical Billing Tool 470-4360
- PCM Patient Eligibility Form 470-4361
- Pharmacy Application 470-4362
- Pharmacist Application 470-4363