As previously communicated by US Script and CVS Caremark®, Absolute Total Care began using the CVS Caremark pharmacy network on May 2, 2016, while claims processing and payment remained with US Script. This notice is to inform you that effective September 1, 2016, CVS Caremark will begin to process claims for Absolute Total Care. All claims for Absolute Total Care will now be reimbursed according to your CVS Caremark Network Enrollment Forms and be paid according to CVS Caremark processing rules and payment cycles, which will appear on your CVS Caremark 835 or remittance advice.

Please update or create plan member profiles to reflect the claims processing changes and note new phone numbers included in this communication.

*Please see attached PDF for more information.

The Hernandez Settlement guidelines apply to Medicaid Enrollees in the State of Florida, in which a few CVS Caremark® clients are Medicaid HMO providers.

The Florida Agency for Healthcare Administration (AHCA) requires that all participating pharmacy locations be in compliance with the Hernandez Settlement Agreement (HSA). An HSA non-compliance situation arises when a Medicaid HMO Enrollee is unable to get his or her prescription filled due to:

• an unreasonable delay in filling the prescription
• a denial of the prescription
• the reduction of a prescribed good or service; and/or
• the termination of a prescription

*Please see attached PDF for more information.

RXBIN: 004336

RXPCN: ADV

RXGRP: RX0440

Member ID Format: 9 digits, numeric only

Person Code : 2 digits, required

*Please see attached PDF for more information.

*Please see attached PDF for more information.

RXBIN: 004336

RXPCN: ADV

RXGRP: RX0427

Member ID Format: 11 digits, alpha only

Person Code : 2 digits, required

Card images are not available at this time.

Patient Pay Amount                 Please rely on the claims system to determine the correct amount to collect from the plan member, if applicable. &l