Provider Notice Issued 12/21/2016
| To: |
Participating Pharmacies, Physicians, Dentists, Podiatrists, Optometrists, Hospitals, Advanced Practice Nurses, and Physician Assistants
|
| Date: | December 21, 2016 |
| Re: | Pharmacy Benefit Management System (PBMS) Updates – New Payor Sheet and Prescriber Enrollment Requirement |
The purpose of this notice is to inform providers that effective with the implementation of the Department’s new Pharmacy Benefit Management System (PBMS) any prescriber wishing to prescribe medications for an Illinois Medicaid participant must be enrolled through the IMPACT system. Implementation of the PBMS is tentatively scheduled for March 27, 2017.
Additional information regarding the IMPACT system including frequently asked questions, webinars and other training guides are available on the IMPACT webpage. Providers are encouraged to subscribe to receive e-mail notification when new Provider Notices are posted to the Healthcare and Family Services (HFS) website.
For additional questions or assistance, please contact the IMPACT Help Desk by email at IMPACT.HELP@illinois.gov or by phone at 877-782-5565, option #1.
In addition, the Department has posted the updated draft payor sheet for the new PBMS on the ILLINOIS Rx Portal Home Page and it can be accessed by clicking on the “Payor Sheet” hyperlink on the right side of the page.
Providers are encouraged to pay particular attention to the Coordination of Benefits/Other Payments Segment Questions section of the payor sheet.
For additional questions or assistance regarding the payor sheet, please contact a Bureau of Professional and Ancillary Services Pharmacy Billing Consultant at 877-782-5565.
Felicia F. Norwood
Director
