The Hernandez Settlement guidelines apply to Medicaid enrollees in the state of Florida, in which some CVS Caremark® clients are Medicaid Health Maintenance Organization (HMO) providers.
The Florida Agency for Healthcare Administration (AHCA) requires that all participating pharmacy locations be in compliance with the Hernandez Settlement Agreement (HSA). An HSA non-compliance situation arises when a Medicaid HMO enrollee is unable to get his or her prescription filled due to:
*Please see attachment for more information.