MINUTES Attendees: Dr. Madhavi Rajulapalli (CMO), Dr ...

1 Proprietary & Confidential to Aetna Medicaid Please do not distribute Agenda MINUTES PRESENTER attendees : Dr. Madhavi Rajulapalli (CMO), Dr. madelyn Meyn (Medical Director), Dr. Sreelatha Pulakhandam (Medical Director), Dr. Bryan Sibley, Dr. Geeta Dalal, Rick Born (CEO), Joanne Landry (COO), Ted Cummings, Wayne Camp, Arwen Podesta, Paul Knecht (LDH), Melwyn Wendt (LDH) Lee Reilly, Director of Quality. Call to order at 5:05pm Dr. Madavi Rajulapalli Reviewed confidentiality statement Review of MINUTES 4Q Meeting- included in packet; motion to approve First Hal White; Second Dr. Dalai; no nays Wayne Camp Old Business - none Business Changes- Smart edit picks up diagnosis code entered from QNXT as a result of claims on the medical record and during the pharmacy claim processing at the POS; helpful for chronic conditions; useful for step therapy and exempt coverage such as cancer diagnosis. ABH of Kentucky has had the Smart edit in place for several years.

2 Specific rules around BH drugs and continuity of care to allow time to obtain clinical information/diagnosis. Only certain drugs set up with Smart edit. Class Reviews- Motion to accept changes; First Hal White; Second Dr. Sibley; no nays Coverage Guideline/Criteria Reviews- Informational 4. Drug Reviews- Informational Wayne Camp Wayne Camp Wayne Camp R. Ph. Wayne Camp Adjournment at 5:27pm Dr. Madhavi Rajulapalli Next Meeting: May 3, 2017