Friday, October 23, 2020
The purpose of the transmittal is to inform Medicaid pharmacy providers and prescribers that the District’s Medicaid Fee for Service (FFS) and Medicaid Managed Care Organizations (MCOs) – AmeriHealth Caritas DC, CareFirst BlueCross BlueShield Community Health Plan DC, Health Services for Children with Special Needs (HSCSN), and MedStar Family Choice DC – authorize in-network pharmacy providers to dispense a 72-hour (3-day) emergency supply of medication(s) (determined by the pharmacist) while a prior authorization (PA) decision is being finalized. A 72-hour (3-day) emergency supply of medication is available when medication must be started or to prevent interruption in treatment when a PA is required.