Molina Healthcare of Florida Molina appreciates your continued support in the health of our members. Medication adherence is extremely important in getting our members to better health. Molina Healthcare of Florida members should NOT be enrolled in any Automatic Refill Program as Automatic Refill dispensing is prohibited by Florida Medicaid. Per RULE: 59G-4.250: Prescribed Drug Services: Each fill (original or refill) must be specifically requested by the member prior to the dispensing of such medication(s). Dispensing scheduled automatic refills without such request is prohibited. Members should not sign waivers that in any way would circumvent the above stated rule.

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

*Please see the attached PDF for more information.

MedImpact Healthcare Systems, Inc. will begin processing for Monroe County School Board as of 1/1/2017. The members’ new ID cards have been delayed, so they may not have them during the first week of January.

*Please see attached PDF for more information.

Dear Valued Provider,
Effective January 1, 2017, Florida Blue will be changing its pharmacy networks for some plans.  Please see the attachment below for further processing instructions.

If you have any questions regarding claims processing, please call the Prime Contact Center at 800-821-4795.

Effective this month, an additional weekly disbursement will be issued for Florida Medicaid claims, in order to comply with state Medicaid prompt pay requirements. You may receive multiple payments in a given week if applicable to your pharmacy.

Note: Pharmacy network participation varies by plan. Your pharmacy may not participate in all plans.