To transfer a current prescription or phone a prescription directly Homescripts call The maintenance drug list is subject to change, may not be comprehensive and some of the medications on the list may be subject to additional plan coverage rules. This includes but is not limited to condoms, spermicides, sponges and any emergency contraceptive drug that is FDA-approved to be dispensed over-the-counter.In collaboration with The Pediatric Mental Health Advisory Group and the Drug Utilization Review Board, HCA established pediatric mental health guidelines to identify children who may be at high risk due to off-label use of prescription medication, use of multiple medications, duplicated therapy, high medication dosage, or lack of coordination among multiple prescribing providers.The HCA requires a review by an agency-designated mental health specialist from the Second Opinion Network when drugs used to treat mental health conditions are prescribed outside of the established guidelines set by the pediatric children’s mental health workgroup.Providers can submit procedure code 99441 on the claim to receive payment for the time spent engaging in medication review process with the SON.To assist prescribers in meeting the needs of children with a mental health diagnosis, and to minimize the need for required SON review, providers can contact the Partnership Access Line (PAL). Other medically necessary pharmacy services are covered as well.Envolve Pharmacy Solutions, Coordinated Care's PBM, processes pharmacy claims and administers the medication prior authorization process.Envolve Pharmacy Solutions will respond via fax or phone within 24 hours of receipt of the prior authorization request.As of 5/1/2017, Envolve Pharmacy Solution MAC appeals are being managed by CVS CaremarkCoordinated Care  provides members with 90 day supplies through our preferred mail order pharmacy, Homescripts, or any contracted pharmacy. If you are an Ambetter member you can reach us 24/7 through your online member account . Ambetter.CoordinatedCareHealth.com Website services include verifying eligibility, benefits, cost shares, submission of prior authorizations, submission of claims, claim status and many more functions. In thisparticular example, these three numbers are the same for all WellCareMedicare Part D prescription drug plans (in this case, the WellCare Classic and WellCareSignature Part D plans) in all states across the country.

For other situations, please contact our pharmacy help desk. Click to Coordinated Care covers eye exams every 12 months for Apple Health members under age 21 and every 24 months for members 21 and over.You will need Adobe Reader to open PDFs on this site.You will need Adobe Reader to open PDFs on this site.Washington Apple Health and Apple Health Foster Care plans issued by Coordinated Care of Washington, Inc.Ambetter plan issued by Coordinated Care Corporation Once a brand name medication on the maintenance drug list becomes generically available, only the generic drug will be covered as a maintenance medication.We authorize pharmacies to provide up to a 30 day supply of medication for an emergency fill when a licensed pharmacist has used his or her professional judgment in identifying that there is an emergency medical condition for which lack of immediate access to pharmaceutical treatment would result in, (a) placing the health of the individual or, with respect to a pregnant woman, the health of the woman or her unborn child, in serious jeopardy; (b) serious impairment to bodily functions; or (c) serious dysfunction of any bodily organ or part.AcariaHealth, Coordinated Care's preferred specialty pharmacy vendor, can supply a number of products. Some medications may require prior authorization and some may have limitations. Banks in Canada issue visa, mastercard and amex branded credit and debit cards. Coordinated Care provides members with 90 day supplies through our preferred mail order pharmacy, Homescripts, or any contracted pharmacy. The patient can determines who specifically needs a copy or access to the CCP. Failure for pharmacies to enroll prior to this date will result in prescriptions rejecting at the pharmacy. The pharmacy program does not cover all medications. • Coordinated care plans are actively maintained according to the practices established in each Health Link by all in the circle of care. Find a doctor, specialist, hospital, clinic or pharmacy in our network. PAL is a telephone based child mental health consultation system funded by the state legislature, being implemented in Washington State. For information about a providers medical school and residency, call Member Services at 1-877-644-4613 (TDD/TTY 1-866-862-9380).You can also learn about the quality of hospitals near you by using Hospital Compare. It is a living PCN: 01410000. Below are EA codes that can be used for certain situations and contacts for additional information.For more information regarding the Washington State Health Care Authority (HCA) Clinical Opioid policy, All OTC contraceptives are covered drug products and do not require a prescription to obtain a successful adjudication via prescription benefits. PCPs may call 1‐866‐599‐7257 between 8am and 5pm for any type of mental health issue that arises with any child, not just Coordinated Care members. Care Management Preventive Care Get the Right Care Aon Exchange Members Aon Wellness Programs Aon Coordinated Care Aon Exchange Tools & Resources Pharmacy Benefits Diabetic supplies Drug Formulary Frequently Asked Questions We would love to hear from you!