PQS has moved details and language within the EQuIPP dashboard for all users as it relates to qualifying patient counts (i.e. denominators). The information previously in the resources section and has been moved to the bottom of the dashboard main page along with the ‘Analyze Performance’ pages.   The language below clarifies the use of performance data associated with smaller population sizes.  There is no change in any calculations or functions within EQuIPP.  We have been asked to move this by the Pharmacy Quality Alliance (PQA). Please note:  These recommendations are provided in the PQA Measure Manual, which PQS uses as standard measure evaluation for many of the quality measures hosted in EQuIPP.  

Please see the attached PDF for more information on Express Scripts Network Pharmacy Weekly for January 26, 2017.

Anthem is currently experiencing a system issue affecting some claims for Express Scripts members. Pharmacies may receive NCPDP Reject 97 "Payer Unavailable". Anthem is actively working to resolve this issue. Please try to reprocess these claims Friday, Jan. 27, 2017.

Please consider providing an emergency fill, where appropriate.

If you need assistance processing a claim, please contact the Express Scripts pharmacy help desk at 800.922.1557.

In accordance with Texas Labor Code 408.0281, Script Care and Matrix Healthcare Services, Inc. dba myMatrixx, are providing the following notification to their network healthcare providers in the State of Texas.

Pursuant to the thirty-six (36) month agreement beginning April 15, 2016 through April 15, 2019.  Script Care provides myMatrixx with access to its network of providers at the rate previously established by Script Care and its providers.  In an effort to comply with this Texas law, we are attaching a list of myMatrixx clients who may access our pharmacy network.

CAPS recommends that each pharmacy provide a staff member to assist the auditor during the review to ensure that there is adequate time for the auditor to review all of the requested material within their allotted time frame.