Missouri State Regulation requires documentation of a pharmacist’s offer to counsel, for all MO HealthNet participants’ prescriptions. The regulation states, “Documentation of Offer to Counsel: The pharmacist shall document for each MO HealthNet patient’s prescription in a uniform fashion, whether the offer to counsel was accepted or refused by the patient or the patent’s agent. “ Click here to read the regulation: 13 CSR 70-20.310(7).
Additionally, pharmacies must obtain the signature of the participant or his/her representative, and the relationship of the representative to the participant. Participants living in long-term care facilities such as nursing facilities, ICF/MR facilities, and psychiatric residential treatment facilities are granted an exemption from this requirement.
The signature log serves as verification that the participant received the prescription dispensed. One signature per prescription is required, and electronic signatures are acceptable. Providers must make the signature log and offer to counsel available upon request by MO HealthNet or MMAC. For shipped or delivered prescriptions, the pharmacy must obtain the signature of the participant or his/her representative and their relationship to the participant. More information about signature log requirements is found in the MO HealthNet Pharmacy Manual. Click here to access the manual.
Please contact Missouri Medicaid Audit and Compliance (MMAC) at MMAC.PROVIDERREVIEW@DSS.MO.GOV if you have any questions.