The MCO (Managed Care Organizations for Medicaid) requires that you have the option to be notified in advance of changes to the generic pricing utilized for West Virginia Family Health beneficiaries. Later this fall, we will be implementing enhancements to our Argus Pharmacy Portal which will allow you to subscribe to an alert system which will notify you when changes to the MAC pricing are being made. When that enhancement is completed, we will send another bulletin with instructions on how to register for those alerts.

In the interim, we will be emailing the MAC changes to you at this email address. If you wish to OPT OUT, please reply to the email notification and add "OPT OUT" to the subject line before sending. We will gladly remove you from our distribution list.

coverage other than LHC, you will receive a transaction reject message when attempting to enter a prescription

claim to LHCC as primary.

The transaction reject message will show the member’s current primary insurance processing information along

specialty medications, the claim will be allowed to process as long as the primary has already paid. Other

coverage codes 2, 4 and 8 are allowed for non-primary claims to process in the event the TPL has already paid or

is no longer valid.