Work Group 9 Government Programs, in conjunction with Work Group 1 Telecommunication, guides and advises Federal and State funded pharmacy programs and their agents on standards implementation, supports data processing initiatives, and provides design alternatives for standards, which support government requirements.

1. Promote NCPDP membership attendance and active participation in work group meetings.
2. Provide a forum for members to discuss new Federal/State policies and procedures as they relate to the practice of pharmacy, including but not limited to:
   • The Medicare Prescription Drug Benefit
   • Medicare Modernization Act and its impact on federal and state funded programs (e.g. SPAPs, 340B)
   • Billing of transactions to states
   • Health care identifiers, electronic records and transactions, information exchanges (e.g. National Provider ID (NPI), Health Plan Identifier)
   • Pricing/reimbursement changes (for example ASP, AWP, AMP, FUL)
   • Medicare/Medicaid coordination issues
   • State health insurance exchanges related to health care benefits
   • Implementation and changes to Health Insurance Portability and Accountability Act (HIPAA) named standards.
3. Review and recommend changes to implementation of the standards development process and regulatory process as related to HIPAA.
4. Act as a resource for Medicaid Subrogation and Batch Standard implementation questions including the maintenance of a frequently asked questions document that will provide information on these standards related to Federal/State regulations.
5. Maintain the State of the States document by tracking implementation of the Telecommunication Standard by State Medicaid programs.
6. Monitor and track the State Prescription Monitoring Programs in order to provide pharmacy pertinent information for compliance.
7. Collaborate with the National Medicaid HIPAA EDI (NMEH) on issues related to State Medicaid programs
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8. Monitor the task groups to ensure they are on track to complete their work. If appropriate, close task groups that have completed their work.
9. Support the MC Education-Legislation and Regulation Task Group when new legislation is being introduced regarding issues relevant to the work group.
10. Collaborate with other NCPDP work groups and NCPDP SNIP Liaison Special Committee as needed.
11. Review Data Element Request Forms (DERFs) and ballots pertaining to standards for which this work group is responsible for.