Green Sticker Program

1. CyberAccess: Electronic Health Record Health Share MT May 27, 2009 Michelle Gillespie, DPHHS Teresa Karnes, ACS

2. Solution – CyberAccessSM CyberAccess: Overview • Web-based • HIPAA-compliant • Easy to use and navigate • Major Components • Electronic health record (EHR) for providers • Drug claims • Diagnosis codes • CPT codes • Lab values • Biometrics • View and print paid claim data for the past 2 years

3. CyberAccess: Overview • e-Prescribing • e-FAX prescriptions • Print prescriptions • Prior authorization (PA) • PA information • Request a PA • Personal health records for clients • Medical • Prescription • General health tips • Printable format

4. CyberAccess: Log-in • Providers log-on to CyberAccess from the MT Provider Web Portal

5. CyberAccess: Main Screen • News and Alerts links • Department of Health and Human Services Website • Drug Effectiveness Review Project (DERP) • FDA drug link • Terms of Use • Frequently Asked Questions

6. CyberAccess: Patient Selection

7. CyberAccess: Patient Profile Report

8. CyberAccess: Patient Profile Report • The information covered in this report includes: • Patient Demographics • Alert Messages for Paid Drug Claims • Paid Drug Claims Sorted by Therapeutic Class • Diagnoses Sorted by Last Date • Procedures Sorted by Last Date • Prior Authorizations Sorted by End Date • Pre Certifications Sorted by End Date • Physicians for Paid Drug Claims • Pharmacies for Paid Drug Claims

9. Cyber Access: Drug History

10. CyberAccess: Drug History • Displays patient information based on paid claims for the patient • Drug alerts • Physicians • Pharmacies • Pharmacy claims

11. CyberAccess: Medical History

12. CyberAccess: Medical History • Displays an expandable list of procedures for the selected patient • For each procedure line the following are displayed: • Description • HCPC code for the procedure • First date the procedure was administered • Last date the procedure was administered

13. CyberAccess: Procedure Detail Clicking on the + next to the line item displays additional information on the procedure.

14. CyberAccess: Diagnosis Detail Clicking on the + next to the line item displays additional information on that diagnosis.

15. Days supply Refill Sig field Substitution permitted Dispense as written Check for approval Prescriber Patient Drug Pharmacy Quantity form of drug CyberAccess: e-Prescribing • Checks if clinical criteria has been met (check for approval) • Lets prescriber e-fax a prescription

16. CyberAccess: Check Rules • Check for Approval • Selecting this button activates the call to the rules engine. Data is compared to determine: • If the drug requires a prior authorization • If the prescription meet the requirements for prior authorization THIS DOES NOT CHECK OR VERIFY THE PATIENT’S ELIGIBILITY FOR MEDICAID COVERAGE FOR THIS DRUG

17. CyberAccess: PAs on File

18. CyberAccess: PAs on File • Displays the drug prior authorizations the patient has on file. • For each Prior Authorization the following are shown: • Authorization number • Status • Drug name • Start and end dates • Quantity • Days supply • Refill

19. CyberAccess: Fax a Request for a PA • The user will receive either a message of transmission complete or fax failed. • At this point, two options are available to the user: • New Script – which clears the e-prescribe screen and allows the user to create a new prescription to check approval • Print Notes – which prints the notes displayed in the Notes field

20. CyberAccess: Personal Health Record • Web-based Personal Health Record for Clients • Access to all claims • Drug claims • Diagnoses • Procedures • Lab values • Biometrics • Electronic Clinical Decision Support • Clinical alerts in plain English • Healthcare and disease education • Health/medication optimization • Printable personal medical profile • Health/wellness links • Easy to use and navigate

21. CyberAccess: Questions