Effective February 1, 2015, CountyCare will begin covering several new vaccinations. These vaccinations must be administered according to state pharmacy regulations and appropriate dosage restrictions. You are obligated to report the administration of each vaccination within 30 days to the member’s primary healthcare provider*.

CountyCare claims should be processed through: US Script, Inc. (BIN#: 008019)

Communication: 07TP15

Effective Date: Immediately

MedImpact Healthcare Systems, Inc. began processing for HealthSpan Integrated Care- Medicare Cost Part B as of 02/02/2015.

Effective January 1, 2015, in accordance with 45 CFR § 155.430, and at the direction of Centers of Medicare & Medicaid Services (CMS) and Department of Health and Human Services (HHS); Prime Therapeutics (Prime) may direct Participating Pharmacies to reverse claims for Prescription Drug Services due to the retroactive coverage termination of Covered Persons in the Health Insurance Marketplace. Prime will provide Participating Pharmacies with any further direction from CMS or HHS at the time of notification, which may include reprocessing the claim under the Covered Person’s new benefit plan. If the Participating Pharmacies are unable or unwilling to reverse impacted claims, Prime will reverse these claims on behalf of the Participating Pharmacies.