Change Health Care 4.3.24 Update
Apr 03 · Change Healthcare Info
We are pleased to share this update from Optum Rx :
The remaining three FFS Medicaid states went live between Sunday and Friday of last week. All six of the impacted Medicaid FFS states are now back online and claims are flowing.
As for coupons/copay programs, we continue to make progress here.
- For some medications, we have rebuilt the coupon programs on the Rx Claims platform. There are currently more than 120 medications live on Rx Claim that pharmacies can now process with the same BIN/PCN as before. If pharmacies experience any issues the Optum Pharmacy Help Desk can assist them with troubleshooting. We continue to add new medications to the Rx Claim platform every day, and we anticipate addressing the remaining medications in the queue inside of the next two weeks.
- There is a subset of medications that have moved to other coupon/copay card processors and have new BIN/PCNs. If a pharmacy is having issues processing a copay card/coupon, they can check out Change Healthcare Copay Coupon Savings Program Update (optum.com). This site includes a list of new BIN/PCNs for coupon/copay cards that have moved to other processors, as well as pharmacy help desk contact information (if available).
We will continue to maintain close communications, push for updates and timelines, and share them with you when they are received.