MedImpact Healthcare Systems, Inc. will begin processing for Medica Health Plan’s 2016 On and Off Exchange expansion into Iowa as of 1/1/16. Since you have already agreed to participate with MedImpact, there will be no information for you to return. Enclosed please find the following information to assist you in processing claims:

Optum Rx will manage claims processing for members under KPS Health Plan’s new plans. Please note:  All members under KPS Health Plans will receive a new member identification (ID) card as shown below.  Please process prescriptions online using the following KPS Health Plans ID card information below.

Effective January 1, 2016, CVS/caremark will begin to administer the prescription benefits for WellCare of Kentucky Marketplace. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS/caremark. RXBIN: 004336 RXPCN: ADV RXGRP: WCHIXKY Member ID Format: 4 -12 digits Person Code : 2 digits - embedded in Member ID

Effective January 1, 2016, Health New England and Minuteman Health will no longer cover Absorica, Apidra, Doryx, Glumetza, Hydrocodone/Acetaminophen 7.5/300mg and 10/300mg, Levemir, Novolin, Novolog, and Doxycycline 40mg.

Effective December 28, 2015, Amerigroup will be adding drugs to their Prior Authorization (PA) program for Medicaid. The goal of this program is to ensure the medication is being used for FDA-approved indications for therapy. PA criteria for the drugs listed in the table on page two of this communication were reviewed and approved by the Kansas Drug Utilization Review Board.