Pharmacies are required to document the offer to counsel MO HealthNet participants on their prescription medications. The pharmacy must obtain the signature of the participant or his/her representative for each prescription received, with the exception of participants living in long-term care facilities, i.e. nursing facilities, intermediate care facilities/mentally retarded (ICF/MR) and/or psychiatric residential treatment facilities (PRTF).
The signature log serves as verification that the participant received the prescription dispensed and must document in a uniform fashion, whether the offer to counsel was accepted or refused. The absence of the appropriate signature indicates the participant did not receive the prescription, and funds will be recouped from the pharmacy. The absence of notation of acceptance or refusal of the offer to counsel will also lead to recoupment of funds.
As referenced in section 13.11B of the Pharmacy Manual, electronic signatures are acceptable. One signature per prescription is required. For shipped or delivered prescriptions, the pharmacy must obtain the signature of the participant or his/her representative and their relationship to the participant.