Article Index
Colorado Provider Status and Payment for Services
Colorado Pharmacist Services Billing Guide
Medicare
Medicaid
Private/Commercial
Cash
Suggested Initial Billing Process Steps
Provider Status Training Resources
Additional Resources
All Pages

Medicare:

Authority to Bill: None, pharmacists are not currently recognized as Part B providers in the Social Security Act.

Advocacy Asks:  Sign on to national provider status bills (Equitable Community Access to Pharmacist Services Act (ECAPS), H.R. 1770, S. 2477 and Pharmacy and Medically Underserved Areas Enhancement Act, S. 1490): links to sign on here  Provider Status (pharmacist.com)

  • Current ability to bill Medicare is limited to “incident to” services (includes Annual Wellness Visits).  These visits are all still billed under another type of provider (physician, advanced practice nurse)
  • More information can be found under the Colorado Pharmacist Services Billing Guide section.