The 2016 Annual Enrollment Period (AEP) is well underway! SilverScript® Insurance Company (SilverScript), the nation’s second largest1 stand-alone Medicare Part D prescription drug plan sponsor, is pleased to:

• share great news about SilverScript Receiving an Overall 4-star Rating from the Centers for Medicare and Medicaid Services (CMS),
• offer additional 2016 AEP brochures with easy online ordering, and
• recap CMS provider guidelines.

*Please see attached PDF for more information.

Attached please find information regarding OptumRx (formerly) Catamaran and Texas Labor Code Updates for the following:

• Cypress Care
• Modern Medical
• Tech Health

Some MedImpact plans have activated the emergency service to allow overrides for members displaced by the emergency effective 10/07/2016 through 10/21/2016.

In the event of a ‘declared emergency’, MedImpact will follow the guidelines set by NCPDP in the NCPDP EMERGENCY PREPAREDNESS INFORMATION Version 1.1 September 2008.

*Please see attached PDF for more information.

This notification is provided to you pursuant to Texas Labor Code Section 408.0281(d) "Notification to Health Care Provider" and contains the information we may elect to provide to any person, other than an injured employee, to whom access has been provided to the contractual fee arrangement that National Pharmaceutical Service (NPS) has with you. This applies to contractual fee arrangements for services through the NPS network at rates inconsistent with the Texas workers’ compensation pharmacy fee guidelines.

*Please see the attached PDF for more information.

US Script and CVS Caremark® previously announced that effective November 1, 2016, CVS Caremark would begin to process claims for Sunflower Health Plan. This notice is to inform you that this implementation is being delayed. The timeline for implementation is being developed and notifications will be made at least 30 days before implementation.

Claims for Sunflower Health Plan should continue to be processed through US Script until such time US Script and CVS Caremark notify you otherwise. Claims will be reimbursed according to your US Script Network Enrollment Forms and will be paid in accordance with the Kansas Department of Health & Environment requirements for KanCare Medicaid pharmacy claims. Claims for Sunflower Health Plan claims will remain on your US Script 835 or remittance advice.