Skip to main content

Posts

Showing posts from May 26, 2013

Changes to Medicaid pharmacy benefit manager

Family Voices Indiana has been receiving calls from families who have recently had issues with obtaining prescriptions under Medicaid. According to a recent IHCP bulletin: "Catamaran Corporation will serve as the new Pharmacy Benefit Manager
(PBM) and pharmacy claims processor for the Indiana Health Coverage Programs (IHCP). This change is targeted for an effective date in late May 2013."

As of last week, this change took place. However, the bulletin further states: "The PBM transition does not change any existing coverage policies or rules that govern IHCP pharmacy benefits. For  example, claim filing limits, pricing, Preferred Drug List (PDL) content, utilization and step therapy edits, and quantity limits are not changing as a result of this transition. The PDL and OTC Drug Formularies are not changing as a result of this transition. Criteria used in PA determinations will not change as a result of the transition."
Families have still reported issues when trying to…

IPAS proposed priorities

Family Voices Indiana shares the following information from Indiana Protection and Advocacy (IPAS):

IPAS Seeks Your Input. Please help us be your protection and advocacy system by reviewing our proposed priorities and objectives for 2013-2014 and making comments or suggestions.
Ask yourself what are the most significant disability rights concerns which you or your family members face. Remember our work must deal with established legal rights and not what we wish our rights were.
Go to www.in.gov/ipas/2448.htm to review the proposed priorities and use the contact form to send us your comments.