Effective Dec. 1, 2017, Amerigroup Community Care (Amerigroup), in collaboration with Express Scripts, will move its Medicaid and Georgia Families 360 members in the state of Georgia to a custom pharmacy network which includes mass merchants, supermarket pharmacies, and regional and independent pharmacies.

Attached please find the 2018 Provider Update for your review.  This information is being offered in lieu of the webinar we have had in years’ past.

Amerigroup currently uses passive alerts for DUR therapy duplication edits. Effective December 13, 2017, soft block edits will be implemented and claims will reject with NCPDP reject 88 "DUR Reject Error".

Anthem Blue Cross and Blue Shield Medicaid currently uses passive alerts for DUR therapy duplication edits.

Healthy Blue currently uses passive alerts for DUR therapy duplication edits. Effective December 1, 2017, soft block edits will be implemented and claims will reject with NCPDP reject 88 "DUR Reject Error".