Reminder - Newborn Claim Processing Florida Medicaid Molina Healthcare of Florida As previously communicated on February 26, 2016, for the first thirty (30) days of newborn membership, pharmacy claims should be processed under the mother’s Member ID. After the 30-day grace period, please ask the parent/guardian to present the newborn’s new ID card for processing future claims. For any issues with processing a claim, please contact Molina Healthcare. RXBIN: 004336 RXPCN: ADV RXGRP: RX0794 Member ID Format 9 digits Person Code 2 digits

WellCare of Florida (Medicaid) Florida Medicaid Staywell/Staywell Kids Effective January 1, 2016, CVS/caremark began to administer the prescription benefits for WellCare of Florida, a Care Management Organization, in the Florida Medicaid Program. WellCare of Florida members will be transitioned to a network with CVS/caremark that continues to meet member access requirements, but may offer fewer Providers. Providers that are out of network are eligible for a 90-day continuity of care period where claims are payable to allow time for members to transfer their prescriptions to an in-network pharmacy. The continuity of care period ends on March 31, 2016. The pharmacy claims processing information to CVS/caremark for WellCare of Florida (Staywell/Staywell Kids) is noted below. RXBIN: 004336 RXPCN: MCAIDADV RXGRP: RX8888 & RX8887

Florida Medicaid Molina Healthcare of Florida For the first thirty (30) days of newborn membership, pharmacy claims should be processed under the mother’s Member ID. After the 30-day grace period, please ask the parent/guardian to present the newborn’s new ID card for processing future claims. For any issues with processing a claim, please contact Molina Healthcare. RXBIN: 004336 RXPCN: ADV RXGRP: RX0794 Member ID Format 9 digits Person Code 2 digits