Avoid Prescription Denials: Enroll in Medicaid Soon
By David Doolittle

Medicaid_Denials

Remember back in November when we told you that you’re going to want to enroll in Medicaid by Jan. 15 of this year to ensure your Medicaid pharmacy prescriptions get filled?

Can’t remember? Well, click here for a reminder.

So why are we reminding you about that now?

Because if you didn’t do it then, you’re going to want to do it real soon because the feds are going to start denying such claims starting July 27. 

“Overrides for a prescriber not enrolled in Medicaid will no longer be available,” the Texas Health and Human Services Commission (HHSC) said in an email. “Pharmacy staff should notify the patient that they must use an enrolled Medicaid provider.”

Pharmacy claims for Medicaid managed care or the Children’s Health Insurance Program (CHIP) patients won’t be affected.

If you have questions, you’ll probably find the answers — as well as a few informational flyers — on the HHSC’s website. You can also check out the Texas Medicaid & Healthcare Partnership’s website for information about ordering, referring, and prescribing physician and provider enrollment.


Last Updated On

July 19, 2018

Related Content

Medicaid | Pharmaceuticals

David Doolittle

Editor

(512) 370-1385

Dave Doolittle is editor of Texas Medicine and Texas Medicine Today. Dave grew up in Austin, where he attended culinary school as well as the University of Texas. He spent years covering Central Texas for the Austin American-Statesman newspaper. He is the father of two girls, a proud Longhorn, and an avid motorsports fan.

More stories by David Doolittle