Reminder - Newborn Claim Processing Florida Medicaid Molina Healthcare of Florida As previously communicated on February 26, 2016, for the first thirty (30) days of newborn membership, pharmacy claims should be processed under the mother’s Member ID. After the 30-day grace period, please ask the parent/guardian to present the newborn’s new ID card for processing future claims. For any issues with processing a claim, please contact Molina Healthcare. RXBIN: 004336 RXPCN: ADV RXGRP: RX0794 Member ID Format 9 digits Person Code 2 digits

ACTION REQUIRED: Beginning on March 27, 2016, the following or similar reject may have occurred on some CVS Caremark® claims: Reject 56: <Non-Matched Prescriber ID>. This unanticipated issue has been resolved. If you have not already done so, please assist plan members and resubmit applicable rejected claims. Contact the plan member as appropriate once a paid claim has been captured. If the plan member has paid cash and received the medication, please resubmit the claim and refund the member as appropriate. Note: Valid Prescriber ID rejects may still occur. Follow your pharmacy’s procedures for processing Prescriber ID rejects. As a reminder, per the CVS Caremark Provider Manual, from time to time, unscheduled system maintenance or other circumstances may occur when the adjudication platform(s) may not be available to adjudicate claims for a limited time. At any time, a Provider may contact the Pharmacy Help Desk for assistance or information regarding any claim processing related question. Pharmacy Help Desk Representatives are available 24 hours a day, 7 days a week.

This week's Advocacy Update includes information on a Congressional hearing on heroin and opioid abuse, an article taking on PBMs in USA Today, NCPA's upcoming Pharmacy Summit, and more!

InfiniTrak is extending its Special Pricing for a final time until April 15, specifically for APCI members. This special offer gives APCI members a chance to lock into savings of more than 50%.

Urgent Notification