*Please see attached PDF for more information.

*Please see attached PDF for more information.

Kentucky state regulations require Medicaid prescribers to be enrolled with the Kentucky Department for Medicaid Services (DMS) as "Ordering, Prescribing or Referring Physicians" in order for claims to process. Effective Dec. 15, 2016, pharmacy claims for Anthem Medicaid members in Kentucky are required to be prescribed by an ordering, prescribing or referring physician enrolled with DMS.

Possible rejections

If a claim is submitted with prescriber information that is not enrolled with DMS, the pharmacy will receive reject code 71 "Prescriber ID Is Not Covered" with a secondary message of "Prescriber Not State Medicaid Authorized." These claims cannot be overridden and no fills will be allowed.

Your pharmacy is receiving this to help members whose prescriptions receive these rejects understand that a new prescription may be required. Please direct the member to call the Pharmacy Member Services phone number on their ID card.

*Please see attached PDF for more information.