Kentucky Prescription Assistance Program (KPAP)

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1 Kentucky Prescription Assistance Program (KPAP)

2 KENTUCKY ACTED In the Spring 2008 Legislative Session, the General Assembly passed House Bill 406 that appropriated funds to consolidate all programs in the Cabinet for Health and Family Services that assist individuals in obtaining free or reduced price prescription drugs and to create a system to more easily access PAPs.

3 Central Office Staff Rhonda Farmer, Program Manager Department for Public Health Health Care Access Branch ext Medina Tipton, MHA Branch Manager Department for Public Health Health Care Access Branch ext. 4012

4 Community Organizers Carol Baldwin KPAP Community Organizer Central KY Bryant Hileman KPAP Community Organizer Western KY Deanna Jessie KPAP Community Organizer Eastern KY

5 Community Consultant Contact Cabinet for Health and Family Services

6 PUTTING KPAP INTO PLACE Leslie Harrison Scott Henry Shelby Spencer Hart Butler Barren Warren Simpson Logan Ohio Daviess Henderson Union Webster Pike Floyd Martin Johnson Letcher Knott Elliott Lawrence Perry Breathitt Wolfe Morgan Rowan Carter Boyd Lewis Fleming Bath Meniff Lee Mason Bourbon Powell Clark Bracken Grant Fayette Owen Oldham Jefferson Mercer Nelson Marion Larue Hardin Meade Breckinridge Grayson Allen Todd Crittenden Caldwell Trigg Lyon Fulton Hickman Carlisle Ballard Graves Calloway Greenup Madison Owsley Jackson Clay Harlan Bell Casey Taylor Green Adair Russell Clinton Pulaski Wayne McCreary Marshall Christian Hopkins Bullitt Monroe Boyle Lincoln Laurel Knox Whitley Estill Hopkins Lincoln Christian Whitley

7 WHAT ARE PAP PROGRAMS? Patient Assistance Programs (PAP) PAP programs have been around for more than 50 years Merck was the first company to offer a PAP program KPAP provides access to more than 5,000 medications available for free or reduced price Over 300 companies offer PAP programs

8 WHAT ARE PAP PROGRAMS? Most programs are not advertised Most programs have no limit of term of enrollment and enrollment lasts for one year PAP programs help Uninsured Underinsured Medicaid and private insurance medicines not covered Medicare Part D Donut Hole patients

9 WHAT ARE PAP APPLICATIONS? Each company has its own form, and each form is company specific. Each company has its own set of rules and qualifications. Some programs require more information than others. A person may qualify for one program but not another.

10 WHAT ARE PAP APPLICATIONS? Standardized forms developed by each company to apply for medicine assistance. All free medicine programs have income eligibility guidelines. 80% of PAP programs use 250% of the federal poverty guidelines for an upper eligibility limit.

11 HOSPITAL READMISSION According to data from CMS, more than 50% of hospital readmissions are from medication compliance. Patient Assistance Programs help your hospital assist patients with access to medications. Cabinet for Health and Family Services

12 Cabinet for Health and Family Services IMPACT OF PAP

13 Drug Assistant Software

14 EXPECTED OUTCOMES Improved access to free and reduced cost prescription medicines Improved medication compliance Reporting and tracking capabilities Improved patient health outcomes Reductions in overall hospital readmissions. Reduce the workload for prescribers. Cabinet for Health and Family Services

15 WHO WE PARTNER WITH KPAP partners provided access to more than $444,000,000 in free or reduced priced prescription medicines. KPAP partners include non-profits, faith based groups, and hospitals. Lourdes Hospital supports a KPAP partner that provided access to more than $23,000,000 in FREE prescription medications. Cabinet for Health and Family Services

16 WHAT DOES KPAP OFFER? KPAP Offers (at no cost): Software, through Drug Assistant, that expedites searching, locating and accessing drug manufacturer s PAPs, includes a prescribing professional database, patient database (entering patient data once) and auto-population of PAP form Training on PAPs (onsite and/or web-based) Templates for forms for volunteers, HIPAA, etc. Community Organizing - assistance recruiting volunteers, coordinating the community, or any other assistance Technical Assistance From the Central Office Program Manager IT Assistance through a Computer Helpdesk Toll Free Number (8:00 5:00 EST) Additional information and resources available through our Health Care Access Hotline toll-free number

17 Cabinet for Health and Family Services QUESTIONS?

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