Medicaid PI Quick Start: e-Prescribing

Measure Overview Medicaid Goal

This measure reports the number of permissible prescriptions that go through a formulary check and are sent electronically from Prime Suite. For this measure, you may choose to include or not include prescriptions for controlled substances.

Must Exceed 60%

Setup Requirements

You will need the following setup in your Prime Suite system to meet this measure:

  • Enrollment for Electronic Prescribing
  • Optionally, Enrollment for Electronic Prescribing for Controlled Substances
  • User rights Prescriptions-Create prescriptions and Prescriptions-Access ePrescribe assigned to any providers who will be e-prescribing medications

For assistance with new enrollments, contact your support representative, create a case on My Greenway, or call Greenway Support at (877) 932-6301.

Denominator

Permissible prescriptions written (i.e., prescribed, refilled, or adjusted) and then either printed or sent electronically from Prime Suite during the measurement period.

Recorded medications will not count in the denominator.

Numerator

Prescriptions in the denominator that went through a drug formulary check and were then sent electronically from Prime Suite.

The prescription’s transmission must be successful to qualify for the numerator. See the Transaction History topic in the Prime Suite help for more info.