29

Nov

2017

Amerigroup - Amerigroup Members Influenza Vaccine Submission Process

In order to provide an efficient process for their members, Amerigroup and Express Scripts are providing these tips for members seeking influenza vaccines in the State of Texas:

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15

May

2017

Express Scripts: Kansas Medicaid Implemented 340B Policy - Addresses Billing and Reimbursement

Effective May 1st 2017

Effective May 1, Kansas Medicaid implemented a 340B Policy which addresses billing and reimbursement for Covered Entity Pharmacies and Contract Pharmacies.
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26

Apr

2017

Express Scripts: Amerigroup - Claims Processing Changes

Effective April 17th 2017 Therapy Duplication DUR soft edits

Amerigroup currently uses passive alerts for DUR therapy duplication edits.
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31

Jan

2017

CMO Open Enrollment and New CMO Contracts - Georgia Medicaid

Effective: July 1, 2017

Beginning July 1, 2017, the Georgia Families® program will provide members a choice of four Care Management Organizations (CMOs): Amerigroup, CareSource, Peach State Health Plan, and WellCare. 
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10

Jan

2017

Express Scripts: Changes to Amerigroup* Refill Too Soon limits effective Dec. 27, 2016

Effective: 12/27/2016 Texas BIN: 003858 PCN: MA RxGroup: WKEA

Effective Dec. 27, 2016, Amerigroup changed its “Refills Allowed After” (i.e. Refill Too Soon) limits for members enrolled in its Medicaid and CHIP plans.  
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