10

Jan

2017

OptumRx: Georgia Emergency Refill Process - Kaiser Permanente Members

Effective January 6th 2017

In response to the current emergency situation in the Georgia region, Kaiser Permanente has approved the following immediate action to ensure continuity of care for members.

*Please see the attached PDF for more information.

6

Jan

2017

Express Scripts: Emergency Override for ‘Refill Too Soon’ due to Winter Storm in Georgia

Effective Immediately

The governor of Georgia has issued a State of Emergency to include the following counties in the state of Georgia:

Baldwin, Banks, Barrow, Bartow, Bibb, Butts, Carroll, Catoosa, Chattooga, Cherokee, Clarke, Clayton, Cobb, Columbia, Coweta, Crawford, Dade, Dawson, DeKalb, Douglas, Elbert, Fannin, Fayette, Floyd, Forsyth, Franklin, Fulton, Gilmer, Gordon, Greene, Gwinnett, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Henry, Jackson, Jasper, Jones, Lamar, Lincoln, Lumpkin, Madison, McDuffie, Meriwether, Monroe, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Paulding, Pickens, Pike, Polk, Putnam, Rabun, Richmond, Rockdale, Spalding, Stephens, Talbot, Taliaferro, Taylor, Towns, Treutlen, Troup, Union, Upson, Walker, Walton, Warren, White, Whitfield and Wilkes.



*Please see the attached PDF for more information.

21

Dec

2016

CVS Caremark® Part D Services: Envolve Pharmacy Solutions - Peach State Health Plan Medicare Advantage

Effective January 1st 2017

Effective January 1, 2017, CVS Caremark® will begin to process pharmacy claims for Peach State Health Plan Medicare Advantage. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS Caremark.

*Please see attached PDF for more information.

2

Dec

2016

CVS Caremark®: Envolve Pharmacy Solutions - Ambetter from Peach State Health Plan, Inc.

Effective January 1st 2017

As previously communicated by Envolve Pharmacy Solutions and CVS Caremark®, Ambetter from Peach State Health Plan began using the CVS Caremark pharmacy network on May 2, 2016, while claims processing and payment remained with Envolve Pharmacy Solutions. This notice is to inform you that effective January 1, 2017, CVS Caremark will begin to process claims for Ambetter from Peach State Health Plan. All claims for Ambetter from Peach State Health Plan will now be reimbursed according to your CVS Caremark Network Enrollment Forms and be paid according to CVS Caremark processing rules and payment cycles, which will appear on your CVS Caremark 835 or remittance advice.


*Please see attached PDF for more information.

18

Nov

2016

CVS Caremark®: US Script - Georgia Medicaid Peach State Health Plan

Effective Septemeber 1st 2016

As previously communicated by US Script and CVS Caremark®, Peach State Health Plan began using the CVS Caremark pharmacy network on May 2, 2016, while claims processing and payment remained with US Script. This notice is to inform you that effective September 1, 2016, CVS Caremark will begin to process claims for Peach State Health Plan. All claims for Peach State Health Plan will now be reimbursed according to your CVS Caremark Network Enrollment Forms and be paid according to CVS Caremark processing rules and payment cycles, which will appear on your CVS Caremark 835 or remittance advice.


*Please see attached PDF for more information.

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