Inside this issue:

Express Scripts:  New Level of Effort Fee Structure

Express Scripts had a system issue the morning of March 26, 2015 that caused some Amerigroup Medicaid claims to receive NCPDP Reject 50 (Non-Matched Pharmacy Number) with secondary messaging: "Pharmacy’s State Medicaid ID Not On File."

This issue has been resolved and claims should now process correctly. Please resubmit any claims for Amerigroup Medicaid members that may have rejected incorrectly with 50 on today’s date, March 26, 2015. Prescription Processing Information:

Please process claims for these members using the information below: Amerigroup Florida BIN: 003858 PCN: MA RxGroup: WKMA

Participating Pharmacies may not accept cash payment from a Covered Person, or from someone paying on behalf of the Covered Person, for any Minnesota Health Care Programs (MHCP) covered prescription drug.

 The Covered Person is not enrolled in the restricted recipient program.

 All available covered alternatives have been reviewed with the Covered Person.

 The Participating Pharmacy obtains a Covered Person signature on the MHCP Acknowledgement form.

 The prescription is not a controlled substance, tramadol or gabapentin.

MedImpact Healthcare Systems, Inc. will begin processing for Vital Matters as of 4/1/2015. Vital Matters is a funded prescription program that assists consumers with the cost of various medications. Claims will process with a $0 customer cost, as the program is funded directly through Vital Matters. Please note unique BIN and PCN required to process.