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radiology services and review the viability of pre-authorizing non-

urgent/non-emergent cardiologic procedures and testing.

(5) The Joint Committee on Health Benefits will work with the State and
medical carrier to solicit and contract with credentialed radiological

providers to provide mammography screening, according to the American
Cancer Society's medical protocols, at the worksite and/or predetermined

location. Reimbursement will be provided in accordance with the
participating provider program, subject to the diagnostic copayment.

(6) The continuation of the ambulatory surgery benefit and monitoring
of participating centers. The Joint Committee on Health Benefits will work

with the State to oversee the solicitation by the medical/surgical/basic
medical carrier of Ambulatory Surgical Centers in bordering states and in

those states where retirees commonly reside.
(7) The continuation of the Home Care Advocacy Program (HCAP) and

the ongoing review of services offered. The JCHB shall work with the State
to review and monitor the utilization of DME under HCAP, specifically

requests, approvals and denials of duplicate equipment. If necessary the
State and CSEA Joint Committee will take appropriate action to address

the issue.
(8) The Joint Committee on Health Benefits will continue to review the

impact of Domestic Partner coverage.
(9) The Joint Committee on Health Benefits will work with the State to

monitor and oversee the Specialty Pharmacy Program.
(10) If reimportation of prescription drugs becomes permissible under

applicable law, rule, regulation or other appropriate approval, the parties

agree to work through the JCHB to explore the plan’s use of such
reimported drugs and evaluate the overall impact to the Empire Plan
Prescription Drug Program. The parties will determine whether to

recommend the implementation of the plan’s utilization of such drugs if

both parties agree that it is practicable, cost effective and able to be
implemented into and become part of the current Empire Plan prescription

drug program. Implementation of the alternative drug program for CSEA-
represented employees will not take place without the agreement of the

CSEA JCHB.
(11) The JCHB will work with the State and the Empire Plan prescription

drug carriers to monitor and oversee the Enhanced Flexible Formulary. No

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