RXBIN: 004336

RXPCN: MCAIDOH

RXGRP: RX0797

Children in Custody (CIC) is a new Ohio Medicaid population that will be enrolled in managed care starting January 1, 2017. These children are in the custody of their local County Public Children Services Agency (PCSA) or County Job and Family Services (CDJFS).

Transition of Care Requirements have been expanded for this population. CareSource is committed to eliminating any barriers to care during their transition, and do not want to turn Case Workers or Foster Parents away without assistance. If you receive a rejected claim message for a CareSource member during the hours of 7 am – 5pm, please reach out to CareSource at 1-800-488-0134. After Hours (5pm- 7am) please reach out to the CVS Caremark Pharmacy Help Desk at 1-800-364-6331. Please indicate you are requesting assistance for a Child in Custody.

Dear Valued Provider,
Effective December 12, 2016, generic Zetia (ezetimibe) became available in the market. Ezetimibe will remain Non-Formulary for Medicare Part D Covered Persons. Please see the attachment below for further processing instructions.


If you have any questions regarding claims processing, please contact the Prime Contact Center at 800.821.4795.

Sincerely,
Pharmacy Network Management
Prime Therapeutics LLC

Dear Valued Provider,
Effective January 1, 2017, Blue Cross Community Integrated Care Plan (ICP) and Blue Cross Community Family Health Plan (FHP) Covered Persons will be subject to a Morphine Equivalent Dose (MED) quantity limit. Please see the attachments below for further processing instructions.

If you have questions regarding claims processing, please call the Prime Contact Center at 800.821.4795.

Sincerely,
Pharmacy Network Management
Prime Therapeutics LLC

Prime Therapeutics Contracting Fax number: 877.823.6373

*Please see attached PDF for more information.

Members will be issued new pharmacy ID cards from MedImpact Healthcare Systems with their new member ID number. The new card will be active 01/01/17, so please request the new card information from the members starting 01/01/17.

*Please see attached PDF for more information.