Annonces

Diabetic Supplies Update

Diabetic supplies including Continuous Glucose Monitors (CGM) will be changing to a pharmacy claim type submission by both pharmacies and DME providers in the next few months. Pharmacies will be able to begin billing diabetic supplies via regular NCPDP billing for beneficiaries starting 5/1/2024. DME providers will begin billing in the new portal starting 7/1/2024. Please note that this change will not apply to those members with Medicare Part B benefits, or for those members needing traditional insulin pumps with tubing and cannula type supplies, as the current Durable Medical Equipment (DME) benefit and billing rules will remain the same as it has been and is not changing. For more information, including preferred products and pricing, please see the Diabetic Supply Update for Providers.

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Hepatitis C update

Arkansas Medicaid has updated the prior authorization criteria for Hepatitis C reviews. The requirement for a certain fibrosis score, which dictates the amount of fibrosis in the liver, has been removed from the criteria. Fibrosis scores will no longer determine treatment eligibility. In addition, sobriety for at least 6 months prior to the requested treatment is no longer applicable.  All prior authorization requests received will continue to be reviewed on a case-by-case basis.

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Provider Changes to Web Portals and Web-based Applications and Tools

Magellan has implemented pertinent changes to our web portals and web-based applications and tools. The first change consists of a new look and feel for the web pages and tools, such as Find a Pharmacy and Drug Lookup. While the look has changed, the functionality of these tools remains the same.  

 

The second change implements OKTA with multifactor authentication for our provider web-based applications accessed via the secure web portal. Current users of the secure web portal and Web Claims Submission (WCS) will need to complete a short migration process to verify their access credentials and move all existing application permissions to the new OKTA platform. Please review the  migration step-by-step job aid . 

Once your account has migrated successfully, send an email to  uacsupport@magellanehealth.com with the following information: 

·         Your Full Name 

·         Your Okta User ID (the email address you registered with) 

·         Include this statement: "I am an existing Arkansas portal user transitioning to Okta and require secure Provider Portal access" 

Once the email is received, the Magellan UAC Support team will enable your account so that secure Provider Portal access is available.  

If you are a Delegated Administrator and need to make permission changes to your access, log into the UAC Console and  update your organizations and roles . If you are not a Delegated Administrator, you will need to contact your organization's Delegated Administrator to request changes to your account permissions. 

If a new pharmacy provider or prescriber would like to register for the secure web-based applications, they can still do so by clicking the Register button to access our User Administration Console (UAC). 

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Member Changes to Web Portals and Web-based Applications and Tools

Magellan has implemented pertinent changes to our web portals and web-based applications and tools. Members who desire to check their eligibility and pharmacy claims, are able to register on the updated web portal for secure access to this information. For assistance with registering, access the Member Portal Registration Job Aid .

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