space
space
Peshtigo Times
space
space
space
Perspectives
* From My Window
space
space
Sports Shorts
* Three Marinette Golfers Named Academic All-State
* Coleman and Peshtigo Claim Conference Crowns
* Marinette High School Sports Hall Of Fame
* Crivitz Takes Down Northern Elite By One Score, Take MONLPC Small Crown
* Area Football

space
Peshtigo Fire
space
e-Edition
Now Available
For more information
click here
dot
THE CITY REBORN FROM THE ASHES OF AMERICA'S MOST DISASTROUS FOREST FIRE
space
dot
space

DHHS Halts Prescription Pay For Anthony House Clients

Issue Date: July 26, 2017

Controversy over prescription medication has again arisen between Steve Wilke, owner of ValuCare Center Pharmacy in Marinette, and Robin Elsner, administrator of the Marinette County Department of Health and Human Services (DHHS).

Wilke provided the Peshtigo Times with copies of a letter he had received from Elsner, dated Friday, July 21, and his response, dated Tuesday, July 25.

Wilke wondered if his pharmacy is being punished for his opposition to the DHHS decision last year to provide space and support in the Health and Human Services building for Genoa, a private pharmaceutical company, through which DHHS clients can receive prescription medications.

In his annual report to Marinette County Board on Tuesday, July 25, Elsner cited the agreement with Genoa to provide Pharmacy Services for consumers served by his department as an accomplishment for 2016.

He also discussed creation of an After Hours Crisis Program utilizing two full time and one quarter time staff positions to deal with problems that come in outside of regular office hours, and said diversion to Anthony House helps the department minimize use of high priced hospital facilities.

In his discussions with DHHS last year, Wilke had pointed out that Genoa cannot provide emergency medications, while he and other local pharmacies do.

At a meeting of the HHS Committee on Wednesday, Aug. 10, 2016, Wilke had detailed an incident which occurred the previous evening. He had closed his store at 6 p.m., and received a call at 6:15 p.m. from Anthony House, wanting to know if the orders had been received from a new arrival, who was admitted to Anthony House with no medications. Wilke took care of the orders by the end of the night, which took him about an hour. He said there were $83 in copayments alone from her insurance, "which we have to try and collect from this patient...That's the kind of service you're not going to get from an outside provider. They are not going to be able to provide those things, and I don't charge to do that" I might have to rethink that, and don't be surprised if something like this happens down the road and you get a bill for $100 for an after-hours call," he told the committee.

Elsner had assured everyone at the meeting that DHHS clients could chose which pharmacy they preferred.

Since then, Wilke has continued to fill prescriptions for clients of Anthony House, including those of an emergency nature that come in after hours. He has also provided repackaging of other medications if requested by Anthony House. That may now stop.

Elsner's latter to Wilke stated:

"It has come to my attention that the Marinette County Health & Human Services Department has been paying for pharmacy services of clients that receive diversion services at the Anthony House. The pharmacy services include co-payments for medication, medication packaging and over the counter medications. Payments for these services are the responsibility of the clients being served at the Anthony House.

"Effective August 1, 2017, the Marinette County Health and Human Services Department will no longer pay for pharmacy services for clients at the Anthony House. These services are the responsibility of the client residing at the Anthony House. Previously, these services have been paid through county tax levy, and I cannot support utilizing county taxpayer dollars to pay for these services moving forward. It is the responsibility of the client to pay for these services and they should be billed directly for payment.

"I have discussed this issue with the Anthony House management staff and have informed them that this change will occur. Anthony House should be providing ValuCare Center Pharmacy with the billing address for clients, so that you can bill them for these services upon discharge from the Anthony House."

Elsner concluded with an invitation for Wilke to call him if he had any questions.

Copies were sent to Pam Losinski, Group Home Association Administrator; Robert Valentine, Community Services Supervisor-ADAPT Clinic, and Guy Powers, MD, Medical Director.

Wilke wrote in response to Elsner's letter:

"I received your letter of July 21 with today's mail. I must say that I extremely disappointed in receiving such short notice for your change in payment policy and do not feel that the letter accurately reflects the understanding we had been working under with Anthony House for many years.

"ValuCare has made every effort to collect payment directly from the clients. The understanding was that we would attempt collection from them for 90 days and then if no payment was received, HHS would reimburse ValuCare for services rendered. There are several clients still in the 30 to 90 day billing cycle so I trust that the prior agreement will be honored for these people.

"As you should be aware, these clients are not admitted to Anthony House voluntarily. Many are transferred from various mental health facilities for temporary care. While many are Medicaid recipients, a good number are without any insurance and/or homeless. This makes collecting payment from them highly unlikely.

"ValuCare agreed to provide pharmacy services to these clients only after being assured that HHS would pay for their medications if there was no payment received after 90 days. To do otherwise would put ValuCare at substantial financial risk.

"Providing service to these clients requires much extra work compared with our other clients. Obtaining prescription orders from other facilities and pharmacies, reconciling the medication discrepancies and often having to repackage the clients own meds from other pharmacies is very labor intense and costly. These new admissions frequently occur late in the day which often results in having to keep staff after normal business hours and pay overtime to get the orders completed. After hours and weekend emergency pharmacy services are also provided at no additional charge to the client or facility.

"A recent seminar I attended suggested that ultimately, the facility should be held responsible for paying the pharmacy packaging fees when the packaging is mandated by the facility for administration to the clients.

"Please be advised that unless your policy is reconsidered, effective August 1, 2017, ValuCare will not extend credit to clients unless a responsible party makes arrangements and agrees to pay for pharmacy services. Lacking this arrangement, payment will be due at the time the medications are delivered to the facility or picked up at the pharmacy. After hours and weekend emergency services will be offered but will be subject to additional charges to the facility.'

Wilke concluded, "Had I received some advance notice of your policy change, I would have been happy to discuss these issues with you or your staff or committee but as with other actions affecting local businesses, it appears unlikely that the HHS committee was involved in this decision."

At the 2016 HHS meeting with Wilke and representatives of Genoa, Dr. Vickie Marie Cloutier had been the only committee member to vote against the agreement with Genoa. She asked how Genoa would get medications to group homes or facilities quickly after an admittance late at night, referring to Wilke's comment that ValuCare had gotten a patient in Anthony House his or her medications in about an hour the night before.

"What we can do is FedEx it, and get it overnight," the Genoa spokesman stated. He stated that Genoa has a pharmacist on-call at all times that can transfer the medication to the nearest 24-hour pharmacy, who can fill five days of the prescription, though not until the next day. Wilke was quick to point out, however, that there are no 24-hour pharmacies around, just local pharmacists on call. Wilke said that he is even called at home to deliver medications.

The Genoa spokesman had said the Consumer Medication Coordinator's role was to make sure people do not run out of medications. "We're going to let the prescriber know five days before a prescription runs out," he said.

Elsner expressed concern that the coordination by a case manager here related to that discharge (involving the person sent to Anthony House) didn't occur earlier in the day. "Somebody dropped the ball last minute," he said.




Recent stories, opinions and photos

Issue Date Department Headline
10-18-2018Obituaries
Joseph Bikowski

10-18-2018Obituaries
Kurt Burge

10-18-2018Obituaries
Agnes Campbell

10-18-2018Obituaries
Byford A. Carter

10-18-2018Obituaries
Sandra Dubovenko

10-18-2018Obituaries
Lorraine M. Ehlert

10-18-2018Obituaries
Roger C. Eklund

10-18-2018Obituaries
Kathryn A. Firgens

10-18-2018Obituaries
Terry Flannery

10-18-2018Obituaries
Jamie Glish

10-18-2018Obituaries
Dean Grant

10-18-2018Obituaries
Mary P. Gribbons

10-18-2018Obituaries
Mildred R. Haulotte

10-18-2018Obituaries
Donald Hirsch

10-18-2018Obituaries
Harold K. Johnson

10-18-2018Obituaries
Wayne F. Louis

10-18-2018Obituaries
Daniel O. Lynch

10-18-2018Obituaries
Ida F. Maske

10-18-2018Obituaries
Linda E. Nicklaus

10-18-2018Obituaries
Matthew A. Neshek

10-18-2018Obituaries
Judith A. Piel  

10-18-2018Obituaries
Robert A. Portlock

10-18-2018Obituaries
Retta L. Rousseau

10-18-2018Obituaries
Janice Santos

10-18-2018Obituaries
Erma E. Schroeder

10-18-2018Obituaries
Joan M. Thurow

10-18-2018Obituaries
Emil Vandermause

10-18-2018Obituaries
Everett L. Waugus

10-18-2018Obituaries
Barbara A. White

10-18-2018Sports
Three Marinette Golfers Named Academic All-State

10-18-2018Sports
Coleman and Peshtigo Claim Conference Crowns

10-18-2018Sports
Marinette High School Sports Hall Of Fame

10-18-2018Community - Wausaukee
Wausaukee/Crivitz Share M&O Volleyball Crown

10-18-2018Sports
Crivitz Takes Down Northern Elite By One Score, Take MONLPC Small Crown

10-18-2018Perspectives
From My Window

10-18-2018Perspectives
Country Cousin

10-18-2018Perspectives
From our readers

10-18-2018Community - Wausaukee
WBA Christmas in the Park Nov. 10th

10-18-2018Community - Wausaukee
Athelstane Fire to Host Open House

10-18-2018Community - Wausaukee
Wausaukee Needs Scorer, Clock Operator

10-18-2018Community - Wausaukee
Wausaukee Lists Trick or Treat Hours

10-18-2018Community - Crivitz
Personal Trainer to Speak After Tragedy

10-18-2018Community - Crivitz
Country Gospel Jam is Oct. 19

10-18-2018Community - Crivitz
14 at Monday Card Group

10-18-2018Community - Crivitz
VFW Gun, Knife Show

10-18-2018Community - Coleman
Healthy Living Library Topic

10-18-2018Community - Coleman
Village Trick or Treat on Oct. 31

10-18-2018Community - Coleman
Pound Christmas Parade Dec. 8th

10-18-2018Community - Coleman
Club Christmas Party Dec. 11

10-18-2018
Bridge Officially Named For PFC Valentine T. Warrichaiet

10-18-2018Front Page
Village of Crivitz Is Considering Extra Territorial Zoning for Well

10-18-2018Front Page
Water Testing Continues In The Town Of Peshtigo

10-18-2018Front Page
Peshtigo School Board Views Tentative Budget

10-18-2018Front Page
New Crivitz Area Food Pantry Open House Oct. 25

10-11-2018Front Page
Six Fire Departments Battle Fire Sunday

10-11-2018Front Page
Large Crowd Attends Ceremony On Anniversary of Peshtigo Fire

10-11-2018Front Page
Town Of Peshtigo Okays 2019 Budget

10-11-2018Front Page
Coleman Board Views School Renovation Plans, Budget

10-11-2018Front Page
Look, Listen, Learn, Fire Prevention Week Theme

10-11-2018Front Page
George Webb Restaurants To Offer Free Burgers for 12 Game Win Streak

10-11-2018Sports
Area Football

10-11-2018Sports
Area Volleyball

10-11-2018Sports
Area Cross Country

10-11-2018Sports
Rule Regarding Deer Carcass Transportation Suspended

10-11-2018Sports
Northern Lake Michigan Fisheries Team Report

10-11-2018Community - Wausaukee
Silver Cliff Fire, Rescue Plan Hunters Bake Sale

10-11-2018Community - Wausaukee
Wausaukee Holds 10th Successful Fall Fest

10-11-2018Community - Wausaukee
WBA Christmas in the Park Nov. 10th

10-11-2018Community - Crivitz
Booyah Fest Raises $3000 for Veterans

10-11-2018Community - Crivitz
Crivitz Legion Meets Oct. 17

10-11-2018Community - Crivitz
CPR Classes At Bellin Health Crivitz

10-11-2018Community - Crivitz
Fall Harvest Unity Dinner is Nov. 4th

10-11-2018Community - Coleman
Pound Lists Hours for Trick of Treat

10-11-2018Community - Coleman
Medicare/Medicaid Session at Library

10-11-2018Community - Coleman
Hearing Care Talk at Library

10-11-2018Community - Coleman
FCS Hosts Chili Cook-Off Nov. 2

10-11-2018Perspectives
From our readers

10-11-2018Perspectives
Country Cousin

10-11-2018Perspectives
From My Window

10-11-2018Obituaries
John Barnes

10-11-2018Obituaries
Robert M. Burk

10-11-2018Obituaries
Edwin Charles

10-11-2018Obituaries
Carol A. Chudy

10-11-2018Obituaries
Laura M. Curle

10-11-2018Obituaries
Stanley J. Dudka III

10-11-2018Obituaries
Fred W. Edwards

10-11-2018Obituaries
Clifford R. Falstad

10-11-2018Obituaries
Monica T. Hodkiewicz  

10-11-2018Obituaries
Elaine J. Holloway

10-11-2018Obituaries
Harold K. Johnson

10-11-2018Obituaries
Scott W. Klitzke

10-11-2018Obituaries
Adolph A. Kowalkowski

10-11-2018Obituaries
Orlin A. Krieser

10-11-2018Obituaries
Mary K. Long

10-11-2018Obituaries
Robert Lurquin

10-11-2018Obituaries
Bernice Missal

10-11-2018Obituaries
Sally A. Olson

10-11-2018Obituaries
Connie Pesola

10-11-2018Obituaries
Marie G. Reichwald

10-11-2018Obituaries
Wayne Richards

10-11-2018Obituaries
Linda Szymczak

10-04-2018Front Page
30th Annual Historical Day is Huge Success

10-04-2018Front Page
Fire Commemorative Ceremony at Peshtigo City Hall Oct. 8th

10-04-2018Front Page
Bell to Toll in Memory of the Peshtigo Fire

10-04-2018Front Page
Peshtigo Okays UDAG Loan For Evergreen Tool Expansion

10-04-2018Front Page
Greenland Searcher To Speak in Wausaukee October 5 and 6

10-04-2018Community - Wausaukee
Over 100 Students Given Supplies

10-04-2018Community - Wausaukee
Wausaukee Church Youth Meet Thursdays

10-04-2018Community - Wausaukee
SNBT New Wausaukee Office Location Oct. 15

10-04-2018Community - Wausaukee
American Legion 66 Hosts Annual Chili Fest

10-04-2018Community - Crivitz
Booyah Fest for Vets Oct. 6 at Gateway

10-04-2018Community - Crivitz
Winners in CBA Craft Fest Sept. 29

10-04-2018Community - Crivitz
Free Trip to Champion Shrine

10-04-2018Community - Crivitz
National Rosary Campaign at Crivitz

10-04-2018Community - Coleman
Coleman Board To Consider Renovation Options Oct. 8

10-04-2018Community - Coleman
Coleman Utilities To Meet Oct. 8

10-04-2018Sports
Eagles Slam Door on Bulldogs For First Loss

10-04-2018Sports
October is NFHS Activity Recognition Month

10-04-2018Sports
Crivitz/Wausaukee Share M&O Top Spot

10-04-2018Sports
Area Bowling Results

10-04-2018Sports
Area C.C. Runners Have Busy Week

10-04-2018Perspectives
Country Cousin

10-04-2018Perspectives
From My Window

10-04-2018Perspectives
From Our Readers

10-04-2018Obituaries
Moses H. C.  Adams

10-04-2018Obituaries
Peter Nyland Adams

10-04-2018Obituaries
George W. Arkens

10-04-2018Obituaries
Susan A. Benzinger

10-04-2018Obituaries
Kristine L. Brown

10-04-2018Obituaries
Tate Earney

10-04-2018Obituaries
Ronald Englund

10-04-2018Obituaries
Richard A. Ermis, Sr.

10-04-2018Obituaries
Terry Flannery

10-04-2018Obituaries
Diane L. Foster

10-04-2018Obituaries
Joyce M. Gyllenberg

10-04-2018Obituaries
Clarence J. Johnson

10-04-2018Obituaries
John J. Johnson, Jr.

10-04-2018Obituaries
Jean F. Krueger

10-04-2018Obituaries
Stephen M. McBride

10-04-2018Obituaries
Delores Menacher

10-04-2018Obituaries
Robert Minzloff, Jr.

10-04-2018Obituaries
Sue M. Mollus

10-04-2018Obituaries
Gary D. Nejedlo

10-04-2018Obituaries
Patricia A. Reinhardt

10-04-2018Obituaries
Janet M. Shepherd

10-04-2018Obituaries
William G. Swanson

10-04-2018Obituaries
Darlene A. Uhl

10-04-2018Obituaries
Carrie A. Wendt

10-04-2018Obituaries
Robert Wiedemeier

09-27-2018Obituaries
Cindy L. Bushey


space
Peshtigo Times
WEB Poll!
Do you think the Brewers will make it all the way to the World Series?
space Yes
No
Undecided
space
TO VOTE CLICK
YES, NO or UNDECIDED

Suggest a Question
space .
space
FRONT
space
.
space
CLASSIFIEDS
space
.
space
COMMUNITY
space
.
space
GUEST BOOK
space
.
space
NEWS
space
.
space
OBITS
space
.
space
PERSPECTIVES
space
.
space
SPORTS
space
.
space
SUBSCRIBE
space
.
space
.
space
PESHTIGO FIRE
space
.
space
CUSTOM PRINTING
space
.
space
TIMES' SAVER
space
.
space
Click for Peshtigo, Wisconsin Forecast
FORECAST
space
Quick...
News or Ad Search
Enter News key words.
Enter Ad key words.



Peshtigo Times
841 Maple St
PO Box 187
Peshtigo, WI 54157
Phone: 715-582-4541
Email:
News@
PeshtigoTimes.com

space
Fax: 715-582-4662
© 2000-2018
All right reserved
space
Powered by
WEB Media
Interactive
COMMUNITY
WEB sites