Effective 11/01/2016, select Health Alliance Connect (Managed Medicaid) members will transition to traditional Medicaid or another managed care organization. Health Alliance has not had a four prescription limit in place for Health Alliance Connect members. Members who transition to traditional Medicaid will have the four prescription limit implemented. HFS wants pharmacies to be aware that they can initiate prior authorization for former Health Alliance Connect members who reach the four prescription limit. Please inform HFS that the patient is a former Health Alliance Connect member to help expedite these requests.

BIN: 005947

PCN: CLAIMCR

GRP: HA0008

Carrier: CTRHA0008

If your pharmacy has not registered to the CVS Caremark Pharmacy Portal, please do so in advance of the next Trimester reports being uploaded.

*Please see attached PDF for more information.

As previously communicated, effective August 1, 2016, many Plan Sponsors began to reimburse pharmacies for the dispensing and administration of vaccines. Please note that the vaccines covered can vary on a Plan Sponsorby- Plan Sponsor basis. This communication provides a reminder of general information regarding the CVS Caremark Vaccine Administration Network and claims processing information.

*Please see attached PDF for more information.