| 340B Price Restoration | Data Submission Enrollment

Overview

Due to recent manufacturer actions, many Covered Entities have lost 340B contract pricing on certain NDCs. In order to restore pricing, Covered Entities must designate a single Contract Pharmacy, and then submit data to 340B ESP for each of their PIDs in order to check for possible duplicate discounts. This process is complicated and often CEs will not have the bandwidth to extract and submit data and to track the approval progression.

To simplify this process, Macro Helix can now submit claims data for your designated manufacturers, avoiding the need to manually submit each claim through 340B ESP website. On the new Data Submission Enrollment page in 340B Architect, located within the 340B Price Restoration menu, you can enroll in data submission for specific manufacturers and monitor the approval progress, all in one place. 

As of release 22.4.0, customers of Macro Helix can opt-in to data submission from 340B Architect to 340B ESP. In order to take advantage of this collaboration, customers must first register their sites with 340B ESP directly. Information to do so can be found here. While this feature will replace the need for a manual submission process, you will still be able to manually import data via 340B ESPs website if needed.

Users will navigate to 340B Price Restoration > Data Submission Enrollment. Upon loading, the screen will display all PIDs that are currently enrolled in data submission for HIDs that the user has access to.

The main section of the screen presents users with the following information:

• Hospital
  • HID number and name
  • This field can be expanded down to the Pharmacy and Manufacturer levels.
• Transmission Date
  • The date that the most recent data files were submitted to 340B ESP
    • This occurs on a rolling 15 day period after the day a PID is enrolled.
• Status
  • The statuses shown on the HID level line reflects the most recent file submission status for the HID. Expanding your view further, will give you a more detailed view into the status at each PID and Manufacturer level.

• Historical File Submissions
  • This will allow users to download a copy of previous files that have been sent to 340B ESP.
  • The statuses listed here will be the same ones available listed above, however they will apply to just the individual file record.
    
    

New Data Submission Setup

To set up a new manufacturer for data submission, users will click the New Data Submission Setup button found at the top of the page.

Once this is clicked, the Data Submission Setup window will appear. This will present the necessary options for enrolling or unenrolling in manufacturer data submission.

Across the top of the window are the Confirm Data Submission and Reset Changes buttons. Below that, users will see a drop down box that will be used to select the desired Manufacturer to enroll in data submission. 

After a manufacturer has been selected, users will select the PIDs to enroll in data submission for that manufacturer. Below the manufacturer drop-down list is a search box that can be used to search by various parameters including  PID, HID, hospital name, pharmacy name or location. Alternatively, below the search box is a list of all PIDs the user has access to. This list will include active PIDs only and will not show Gateway PIDs. 

Additional options are available as selectable check boxes. These include Only Display Pharmacies:

• I can access 
  • PIDs assigned to the user's profile
• That are opted-in
  • PIDs currently enrolled in data submission
• That are billable
  • By default, this will be selected and the PID list will only show billable PIDs. 
  • Non-billable PIDs will not display if the current date is past the terminated date.
  • Not billable will appear in bold next to the pharmacy name of non-billable PIDs. 

After the desired PIDs are selected, users will click the Confirm Data Submission button at the top of the window. 

A confirmation summary window will appear. This window will list the changes (opt-ins and opt-outs) that the user is submitting. In order to complete and submit the updates, users must accept the terms listed in this window. The confirmation button will not be selectable until the terms are accepted.

Export Data

Users have the ability to export all data that is listed on the Data Submission Enrollment screen. Clicking the Export Data button at the top of the page, will automatically download the full list in an Excel spreadsheet format with the following fields: Hospital, Pharmacy, Manufacturer, Submission Date, and Status.

Enrolled PIDs for Data Submission