Effective February 1, 2015, Sunshine Health will begin covering pneumococcal and varicella zoster vaccines for select populations in accordance with Managed Medical Assistance (MMA) expanded benefits and the Agency of Health Care Administration drug limitations. The vaccines in the table below are covered without a prior authorization. Vaccines for populations not listed in the attached PDF file will require a prior authorization.

Effective February 1, 2015, IlliniCare Health will begin covering several new vaccinations. These vaccinations must be administered according to state pharmacy regulations and appropriate dosage restrictions. You are obligated to report the administration of each vaccination within 30 days to the member’s primary healthcare provider*.

Effective February 1, 2015, CountyCare will begin covering several new vaccinations. These vaccinations must be administered according to state pharmacy regulations and appropriate dosage restrictions. You are obligated to report the administration of each vaccination within 30 days to the member’s primary healthcare provider*.

CountyCare claims should be processed through: US Script, Inc. (BIN#: 008019)

Communication: 07TP15

Effective Date: Immediately

MedImpact Healthcare Systems, Inc. began processing for HealthSpan Integrated Care- Medicare Cost Part B as of 02/02/2015.