Less time navigating care. More time getting on with life.
When care is hard to reach, even an everyday medicine question can become a bigger burden. Pharmacists are medication experts already working in our communities. The opportunity is to let them contribute more of that expertise to the care team.
WAITING.
A HUMAN STORY
“Where do I go from here?”
A fictional character, showing the goal of reform.
01 / THE WAIT
A small question. A long wait for an answer.
Imagine your medicine supply is running low, your usual care team is difficult to reach, and you’re unsure what to do next.
Your pharmacist may already know your medicines. A conversation can help you understand the options available today.
→Reform aims to make more appropriate pharmacy care possible.
02 / THE CONVERSATION
Someone who listens. Expertise that helps.
A pharmacist brings medication knowledge to the conversation: what you take, how it fits your health, and what needs attention.
A standard-of-care approach would give pharmacists more room to use their clinical judgment within their education, training, and experience.
→The right care starts with the person, the evidence, and the pharmacist’s expertise.
03 / THE WAY FORWARD
A clearer next step. A team on your side.
The goal is a care plan you understand and a connected team behind it. Pharmacists help within their scope of practice and refer you when another professional’s expertise is needed.
By sharing appropriate medication-related care, pharmacists can help healthcare teams meet more patients’ needs.
→More ways to receive care. The same commitment to responsible practice.
Pharmacy care can bring medication questions into focus and help patients understand what comes next.
Illustrative scene
EVERYDAY NEEDS / REAL REASONS TO CARECHOOSE A SITUATION
Everyday needs. More ways to help.
KEEPING CARE MOVING
A gap in your medicines shouldn’t leave you without a next step.
Start with a conversation about your medicine, your supply, and your care team. Your pharmacist can explain current options and help coordinate the next step.
WHAT REFORM AIMS TO ADD
More authority for qualified pharmacists to address appropriate medication needs using their clinical judgment.
“What are my options before I run out?”
Reform would expand appropriate care. Your pharmacist can explain the services they offer today.
WISCONSIN HAS ALREADY TAKEN A STEP
Care needs a way to be paid for.
Wisconsin Medicaid recognizes enrolled pharmacists as providers who can bill for covered patient care services.
2021
Provider status became law.
Wisconsin Act 98 created the Medicaid pathway for pharmacist-provided care.
JULY 1, 2024
Covered-service billing began.
Medicaid-enrolled pharmacists could begin providing and submitting claims for covered services.
THE NEXT OPPORTUNITY
Connect authority and payment.
Standard-of-care reform addresses what pharmacists may do. Provider status helps pay for covered care. Both matter to access.
No. Pharmacists contribute their medication expertise as part of the healthcare team. They help within their scope and refer patients when another professional’s care is needed.
Does standard of care mean no rules?
No. Pharmacists would use their judgment within their training and the law. Their decisions would still be held to professional care standards.
Is this the same as Medicaid provider status?
No. Provider status is the existing pathway for Medicaid-enrolled pharmacists to bill for covered care. Standard-of-care reform concerns how pharmacists may practice. Payment and practice authority work together.
Can I ask my pharmacist for help today?
Yes. Your pharmacist can discuss your medicines and explain the services they currently provide. This campaign advocates for reform; it does not change the services a pharmacy can offer today.
Where can I read more?
Start with PSW’s strategic plan, the national standard-of-care model, and Wisconsin Medicaid’s pharmacist coverage policy. The original sources are linked below.