Medical, Dental & Pharmacy
- Medical
- Ambulatory Surgical Services
- Children's Services
- Chiropractic
- Clinic Services
- Community First Services and Supports (CFSS)
- Early Intensive Development and Behavioral Intervention (EIDBI)
- Equipment and Supplies
- HCBS
- Hearing Services
- Home Care Services
- Hospice Services
- Hospital Services
- Housing Stabilization Services
- Immunizations and Vaccinations
- Laboratory/Pathology, Radiology, and Diagnostic Services
- Language Interpreter Services
- Long-Term Care
- Medication Reconciliation
- Mental Health Services
- Optical Services
- Personal Care Assistance (PCA) Services
- Physician and Professional Services
- Recuperative Care
- Rehabilitation Services
- Renal Dialysis
- Restricted Recipient Program
- School-Based Community Services
- Substance Use Disorder
- Telehealth Services
- Transportation
- Tribal and Federal Indian Health Services
- Dental
- Pharmacy
Medication Reconciliation
Medication reconciliation is a review that takes place after a member is discharged from an inpatient hospital stay or a stay in a Skilled Nursing Facility (SNF). During the review, discharge medications are reconciled with the most recent medication list in the outpatient medical record. It is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions. Any medication issues identified require communication with the primary care provider and county case manager (if assigned) to ensure the issue is resolved.
Qualified Providers
- Registered nurse (RN)
- Clinical pharmacist
- Prescribing provider
Eligible Members
Members who are in the programs listed below and are either being discharged from an inpatient stay to a community setting or being discharged from an SNF to a community setting are eligible for medication reconciliation:
- Minnesota Senior Care Plus (MSC+)
- Special Needs BasicCare (SNBC)
- PrimeWest Senior Health Complete (HMO SNP)
- Prime Health Complete (HMO SNP)
Note: Members in Customized Living (CL) enrolled in the programs above are also eligible for medication reconciliation.
Medication Reconciliation Process
The medication reconciliation process involves a visit to the member's home and includes the following:
- Comparing current medications to discharge medications to ensure they match within four calendar days after inpatient or SNF discharge
- Educating the member about his/her medications
- Completing the Medication Reconciliation Tool and submitting it to PrimeWest Health within 10 calendar days
- Clicking on the link for the Medication Reconciliation Tool above will take you to the provider web portal. Log in to complete the form. If you are not signed up for the provider web portal, please request access.
- Completing any identified medication reconciliation needs and determining the need for a skilled nursing visit
- Assessing the member’s daily home routine and home environment for hazardous conditions and addressing other health issues as identified
In addition, medication reconciliation includes ensuring the member sees a primary care provider within 5 – 7 business days after inpatient or SNF discharge.
PW_11-19_565
Updated_07/18/2024
