Regulatory Resource Center (RRC) FAQ

Each of our subscription solutions focuses on tracking federal and state bills and regulations related to medication management, ePrescribing, or prior authorization.

Our ePrescribing State Law Review solution currently tracks the status of bills and regulations related to medication management including mandatory electronic prescribing including controlled substances (EPCS) and prescription drug monitoring program (PDMP) integration.

The ePrescribing State Law Review also includes the regulations that govern printed Rx forms:

• DAW requirements
• EDI permissions and limitations for CII
• CIII-V and non-controlled prescriptions; quantity and days’ supply limitations for controlled substance prescribing

The LTPAC State Navigator includes all the information currently in the ePrescribing State Law Review but adds a lens on how, if at all, bills and regulations impact long-term and post-acute care settings.

The ePA State Navigator solution tracks state-by-state requirements for standard/uniform pharmacy and medical prior authorization forms, state mandates for electronic submission, and response for prescription drugs. For medical prior authorization, similar information is tracked, but today it is less defined for electronic transmission, and more in terms of a common form to use. In both pharmacy and medical, we also track the time the payer, PBM, or health plan needs to respond to the PA requests.

We use a variety of resources to track legislation from introduction to enactment so your team can stay focused on their core responsibilities. Between each quarterly release of our subscription services, we track introduction dates and status of bills on a state-by-state basis. Each release reflects the current status of enacted laws and regulations and, additionally, summarizes proposed ePA and EPCS bills.

For critical items such as newly enacted EPCS and/or ePA legislation with short implementation timeframes, or other areas of special importance to our customers, alerts are sent to subscribers between quarterly releases.

Each quarterly release is delivered in a zip file containing:

• An Excel file that breaks down legislation state by state
• A Word document with supporting citations for the data included in the Excel file
• A Word document that summarizes notable events.

Quarterly releases are delivered around the 15th of January, April, July, and October. Individual alerts on late-breaking sentinel events are delivered via email summarizing the issue.

We offer custom projects/subscriptions on a case-by-case basis. Please contact us at regulatory@pocp.com to discuss your business need.

We do monitor CMS rules; however, we pay more attention to how states respond to Federal rules with new legislation.

Yes, POCP offers a one-time snapshot of its regulatory solutions to simplify regulatory tracking and help development teams to be proactive in planning for system updates on an as-needed basis.

Questions are always welcome. As part of our subscriptions, customers may simply call us, or send an email to regulatory@pocp.com and a team member will respond.

Yes, earlier this year we launched an add-on to our ePrescribing State Law Review solution that highlights legislation that may impact LTPAC settings as well as exemptions that exist for LTPAC settings.

Yes. The ePA Navigator tracks state legislation and rules to drug and medical requirements about prior authorization standardized forms, the use of electronic standards to transfer the PA questions and responses between the parties, as well as defining the length of time a payer has to approve or deny a PA request.

Absolutely. We evaluate special project requests to confirm they can be realistically fulfilled before providing a proposal and statement of work (SOW).

Our subscription solutions are licensed annually. The subscription model includes consultation with Point-of-Care Partners regulatory experts who can quickly and succinctly answer questions concerning enacted and proposed legislation and regulations as well as quarterly releases that provide timely analyses of emerging laws and regulations summarized by state, the relevant citations, the sentinel alerts when needed, and training on how to use the materials. In addition, we offer a one-time snapshot of limited data through our on-demand solution that provides a summary of topics. To request a solution preview, contact us at regulatory@pocp.com.