09/04/2026
Referral eligibility remains one of the more nuanced areas of 340B compliance.
HRSA's patient definition guidance does not provide a separate, prescriptive test specifically for referrals. Instead, covered entities must be able to demonstrate that an individual meets 340B patient eligibility requirements, including maintaining appropriate health records and, when care is provided through a referral or other arrangement, that responsibility for the patient's care remains with the covered entity.
That makes clear, consistent documentation critical.
Referrals+ by PharmaForce helps covered entities strengthen that process with:
- Structured tracking of referral relationships and supporting documentation
- Visibility into referral claims and the documentation supporting eligibility
- Streamlined workflows that help staff identify and manage eligible referrals
- Reporting and records designed to support compliance and audit readiness
Referral capture can help covered entities identify additional compliant 340B opportunities while maintaining the documentation and controls needed to support program integrity.
Schedule a Demo: https://hubs.la/Q04wH80q0