Electronic Prescribing (Medicaid)

To generate and transmit prescriptions electronically, follow the instructions below and use the ExamWRITER ePrescribing Interface. The interface conducts drug formulary checks on medications that you select and displays formulary warnings in blue text.

For more information about using the ExamWRITER ePrescribing Interface, view the ExamWRITER ePrescribing Help.

1. Open a patient’s exam record in ExamWRITER.
2. Press F6 to open the Medication Order window.
3. Click the eRX icon.
4. Click the Pharmacy link to select the pharmacy where you want to send the patient’s medication order.
5. Click Prescribe in the main navigation bar.
6. Search for and select a medication.
7. If a formulary isn’t listed, click Add next to formulary and select the patient’s insurance.
8. Select the appropriate option to send and print the medication order.

More than 60 percent of all permissible prescriptions written by the eligible professional (EP) are queried for a drug formulary and transmitted electronically using a certified EHR.

Denominator

Number of prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances during the performance period; or number of prescriptions written for drugs requiring a prescription in order to be dispensed during the performance period.

Numerator

The number of prescriptions in the denominator generated, queried for a drug formulary and transmitted electronically using a certified EHR.

Threshold

: The resulting percentage must be more than 60 percent in order for an EP to meet this measure.

An EP may take an exclusion if either of the following apply:

• Writes fewer than 100 permissible prescriptions during the EHR reporting period; or
• Does not have a pharmacy within their organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the EP's practice location at the start of his or her EHR reporting period.

This measure is required to achieve a promoting interoperability score.

The following are suggested roles for completing this measure:

• Doctor
• Technician

Auditors been known to ask for screenshots documenting the presence of drug formulary checking during the attestation period. To document the presence of this feature.

1. Open the ePrescribing interface window and display a drug formulary check. Drug formulary checks are displayed when you select a medication to prescribe and when you review a prescription.
2. Press the Print Scrn key.
3. Open a new Word document (or use another word processor or graphics program).
4. Hold the Ctrl key and press the V key.

   A copy of the screen is pasted into your document.

5. Save the Word document with your other MIPS documentation.