“Painless” Administrative Ways for
States with Budget Shortfalls to
Preserve or  Increase Medicaid and
S-CHIP Program Funding

APPENDIX: Potential Consultant/Contractors
Experienced with and Available for Screening ADAP
Clients for Eligibility for Alternate Coverage and
Third Party Liability Improvement
Operations

Thomas P. McCormack 
05/07/04


 

• Covance
  9801 Washingtonian Blvd., 9^th floor
  Gaithersburg, MD 20028
  Operates several PAPs*

• The Lash Group
  Lash Group
  3735 Glen Lake Dr
  Charlotte, NC 28208
  Operates several PAPs*

• PAREXEL
  5870 Trinity Parkway ,Suite 600
  Centerville, VA
  Operates several PAPs*
  PAREXEL Health policy/reimbursement Web Site

• Peterson Consulting Group (Navigant Group
  1801 K Street, NW
  Washington, DC  20006
  Serves as HRSA's Third-Party Billing Consultant

* PAPs—private, corporate Patient Assistance Programs, run by or on behalf of pharmaceutical manufacturers
as private charities, provide prescriptions to those patients without any other current or potential coverage who
 are considered needy under individual company guidelines. PAPs are  operated on behalf of manufacturers by
the above contractors using centralized telephone “boiler room” staff  trained in Medicaid, other public health
benefit, VA and private health insurance eligibility; only those patients whom these contractors screen and find
to be  not eligible (or not yet eligible) for such other coverage receive PAP drugs, if they’re needy enough; where
necessary, patients are temporarily given manufacturer drug donations and case-managed while awaiting or being
processed for coverage to begin in any alternate health coverage.
 

“Painless” Administrative Ways For States With Budget
Shortfalls To Preserve or Even Increase Medicaid and
S-CHIP Program Funding
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