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
Family Voices Indiana is a family-led organization that provides information, education, training, outreach, and peer support to families of children and youth with special health care needs and the professionals who serve them.