News and Annoucements

 

General

Changes to the KHC Medicare Rx Update Form

The Fax Cover for KHC Medicare Rx Update Form has been replaced by the Medicare Part D Update and Insurance Update forms. See forms.

 Benefits

New Drug Benefit for Transplant Clients

Effective July 1, 2017, Zortess (everolimus) has been approved and added to the Kidney Health Care drug formulary. The immunosuppressant drug is limited to kidney transplant clients. Prior authorization is not required.

 Providers

Attention Pharmacy Providers

People often forget their medicines when they evacuate and need an early refill from a pharmacy. In most cases, pharmacists may not dispense more than a 72-hour supply of medication. Clients affected by Hurricane Harvey in Kidney Health Care may be able to receive early prescription refills from their pharmacy.

Health and Human Services implemented an emergency procedure for pharmacists to follow if a prescription rejects with an error code “79” (“Refill Too Soon”) but only for people the pharmacist identifies as affected by Hurricane Harvey. Pharmacy staff should use their professional judgement when filling prescriptions to ensure adherence to state and federal law. HHS guidance on how to fill a prescription earlier may be found here: https://www.txvendordrug.com/hurricane-harvey.

Fee-for-service and MCO emergency override procedure is available for claims with service dates of Aug. 24 through Oct. 31 2017. 

Information posted 10/06/2017

Attention all KHC Providers

Notice of Change to Record Retention Requirement from 5 Years to 7 Years (PDF) - 3/14/2017

ICD-10 codes are effective October 1, 2015.

Medicaid Providers

Have you re-enrolled yet? Need more information? Here is a Quick Reference Guide and additional information about re-enrollment.


Contact KHC by email.

Last updated October 6, 2017