Health Care Professionals

MedsCheck

Frequently Asked Questions: MedsCheck for Diabetes

Patient Eligibility

Conducting the Medscheck for Diabetes


Patient Eligibility

Who is eligible to receive a MedsCheck for Diabetes

Ontarians who hold a valid Ontario health card,  live in Ontario, and are living with type 1 or type 2 diabetes are eligible for the MedsCheck for Diabetes provided they visit the pharmacy in person and are not living in a licensed home as per the requirements of the MedsCheck LTC. 

A person with diabetes that happens to be eligible for a MedsCheck at Home may be eligible for Diabetes Education only (i.e., not eligible for a MedsCheck Diabetes Annual).

A person who is newly diagnosed with diabetes and has already had a MedsCheck Annual in the current year may be eligible for Diabetes Education only (i.e., not eligible for a MedsCheck Diabetes Annual in that year; however they would be in the following years).

  top    

Is a patient living with type 1 or type 2 diabetes and taking less than 3 chronic prescription medications still eligible for the MedsCheck for Diabetes?

Yes. The program criteria is such that a patient must have a diagnosis of type 1 or 2 diabetes – the number of medications is not a consideration. Therefore, if a patient is diagnosed as having type 1 or type 2 diabetes and is taking zero, one or two prescription drugs for diabetes which may or may not include insulin, the patient is eligible for the MedsCheck for Diabetes.  Eligible recipients of the MedsCheck for Diabetes, unlike the other MedsCheck programs, are not required to be taking 3 chronic prescription medications; they must however, be diagnosed as having type 1 or type 2 diabetes.

  top    

Is the MedsCheck for Diabetes offered to Ontarians who are seeking preventative information on diabetes and/or are not diabetic?

No. The MedsCheck for Diabetes is offered to patients who have been diagnosed as living with type 1 or type 2 diabetes and who are or will be taking medication for their condition.

  top    

How often can I conduct a MedsCheck for Diabetes with a patient?

Eligible patients may receive a MedsCheck for Diabetes medication review assessment service once per year based on the date that the recipient had their previous MedsCheck for Diabetes service. Should a patient require follow-up education and/or communication, the pharmacist will include this plan as part of the annual assessment with the projected monitoring, training, education and communication as appropriate with the patient. Patients targeted for education are eligible for a Diabetes Education services within the same year. The Diabetes Education does not include a medication review component and the visit must take place at the same pharmacy that provided the annual diabetes medication review assessment service. Once a patient is the recipient of the MedsCheck for Diabetes, they are not eligible to receive a MedsCheck Annual.

Note: If a patient is diagnosed with diabetes and has received a MedsCheck Annual within the previous 12 months; this patient is eligible for a Diabetes Education only.

  top    

How do I determine whether a patient has already had a MedsCheck for Diabetes service or Diabetes Education conducted at another pharmacy?

Pharmacists are required to plan the MedsCheck for Diabetes services with their patients living with diabetes by scheduling a time for the pharmacy consultation that is agreeable to the patient. In so doing, it is important to ask the patient whether or not they have participated in the MedsCheck for Diabetes service including Diabetes Education with another pharmacy in the past year.

The Diabetes Education visit must take place at the same pharmacy that provided the annual diabetes medication review assessment service.

  top    

How will the ministry address patients who receive a MedsCheck for Diabetes review more than once within the year?

Pharmacies are reimbursed for one MedsCheck for Diabetes claim per year based on the date that the recipient had his/her previous MedsCheck for Diabetes assessment service. A patient who receives a MedsCheck for Diabetes is not eligible for a MedsCheck Annual after the fact; however, they are eligible for a MedsCheck Follow-up provided they meet the respective program criteria.

Patients may be eligible for a MedsCheck Follow-up medication review which may be conducted when a patient is discharged from hospital, due to a planned hospital admission, a pharmacists documented decision or as a result of a referral by physician or a nurse practitioner. Documentation is required for all MedsCheck services. Please note that patients must be taking a minimum of 3 prescription medications for a chronic condition and not all patients undergoing the MedsCheck for Diabetes may be eligible for the MedsCheck Follow-up.

Ministry inspectors will monitor the claims and will follow up with pharmacies if there are concerns regarding claims submissions including missing or incomplete documentation records. All MedsCheck claims are subject to audit and claims may be recovered if deemed appropriate.

  top    

Conducting the Medscheck for Diabetes

As a pharmacist, do I require specific training and education to conduct a MedsCheck for Diabetes?

All pharmacists who are registered under Part A of the Ontario College of Pharmacists (OCP) Register are deemed to have the required training and education to deliver the MedsCheck Annual, Follow-Up, LTC and At Home consultations. Pharmacy students may also participate in the provision of these consultations if performed under the direct supervision of a Part A pharmacist.

With regard to the MedsCheck for Diabetes service, an additional requirement has been added to the program whereby pharmacists are required to have adequate knowledge of diabetes education delivered through one or more of the following:

The Ministry of Health and Long-Term Care expects that the education programs mentioned above are sufficiently robust and are maintained/ renewed as necessary to support the quality of the MedsCheck for Diabetes service delivered to Ontario patients. Pharmacists must determine for themselves whether or not their knowledge on diabetes from their respective education program is sufficiently rigorous to provide the service and address the clinical and educational needs of their patients.

As always, proof of education should be readily available for audit purposes and must be in place prior to the billing of a MedsCheck for Diabetes claim.

  top    

Can the pharmacist conduct the MedsCheck for Diabetes service outside the community pharmacy?

No. The MedsCheck for Diabetes is designed as a pharmacist’s one-on-one consultation to occur in the community pharmacy.

Note: Residents of Retirement Homes or Group Homes are not eligible for the MedsCheck at Home or a MedsCheck LTC; should such residents require a home visit, provided s/he meets the respective program criteria and agrees to a home visit, may be eligible to receive a MedsCheck Annual, MedsCheck Follow-up or a MedsCheck for Diabetes Annual service.

  top    

Can the pharmacist conduct the MedsCheck for Diabetes with the caregiver?

Yes. The MedsCheck for Diabetes may be conducted with a caregiver; however, every attempt must be made for the patient to also be present for the review as the review includes education and device training which is more beneficial when conducted with the patient in person. Appropriate patient consent must be documented and on file at the pharmacy if the caregiver is acting as the patient’s agent.

  top    

Is there a role for the registered pharmacy technician in conducting the MedsCheck for Diabetes program?

Yes. Registered Pharmacy Technicians (RPhT) may play a role in researching/gathering the available diabetes support materials and references that are provided to the patient as part of the consultation. The RPhT may also assist in booking appointments and identifying potential candidates for the MedsCheck for Diabetes service.

Provided the pharmacist is physically present in the community pharmacy, a RPhT may assist patients to select and use drug administration devices, diagnostic and monitoring devices, home health aids, and other non-drug measures. If the RPhT is assisting; they should also sign their name to the medication review along with the pharmacist and the patient.

  top    

What is included in the MedsCheck for Diabetes medication review?

The MedsCheck for Diabetes annual review must include a pharmacist’s worksheet for professional notes a medication review as in the MedsCheck program as well as providing education, advice, recommendations to support the management of their diabetes, follow-up measures and referrals to other health care professionals or services; all of which needs to be documented in an assessment summary. The service will also include a review of other health conditions the patient may have. Patients will also benefit from medical device training and selection; appropriate use of glucose testing as well as appropriate disposal of drugs and diabetes supplies.

  top    

Is there a standardized form that pharmacists must use for the MedsCheck for Diabetes?

No. Pharmacist are encouraged to adapt the various form templates as outlined in the program details document when conducting the MedsCheck for Diabetes medication review and assessment summary.

  top    

Can the MedsCheck for Diabetes be conducted outside the pharmacy or in the patient’s home?

No. The MedsCheck for Diabetes is designed to be conducted by the pharmacist in the community pharmacy. If the patient is not physically able to visit the pharmacy, pharmacists should look into conducting a MedsCheck at Home with the patient.

  top    

I’ve just completed a MedsCheck for Diabetes review and I’ve decided that the patient needs more follow-up and monitoring. What do I do?

The pharmacist may arrange with the patient for a MedsCheck for Diabetes Follow-up if when conducting the initial MedsCheck for Diabetes it is determined that follow-up and monitoring will be beneficial to the patient.

  top    

Where can I find more information about diabetes for my patients?

The Stand Up To Diabetes website (www.ontario.ca/diabetes) provides tools and information for Ontarians who are at risk of developing diabetes on prevention of the disease, as well as tools for Ontarians with diabetes to better manage their disease.

  top    

Where can I find out where my closest Diabetes Education Program is located?

Information on where to find locations for the Diabetes Education Program can be found on the Stand Up to Diabetes website (www.ontario.ca/diabetes). In the provider section, there is a searchable database of Diabetes Education Programs available in Ontario.

  top    

How long should a MedsCheck for Diabetes Annual and Follow-up review take?

Time required to conduct the MedsCheck for Diabetes will vary from patient to patient depending on the degree of their diabetes condition as well as other chronic disease conditions; it is estimated that the interview portion will take approximately 30-45 minutes for the Diabetes Annual and 20-30 minutes for the Diabetes Follow-up.

Pharmacy support staff including registered pharmacy technicians can assist in the administrative work required to prepare for any MedsCheck program including identifying patients, organizing appointments and collecting reference information.

|  return to questions menu  |
For More Information

To learn more about MedsCheck talk to your Pharmacist or contact ServiceOntario, INFOline 1-866-255-6701 or TTY 1-800-387-5559