What if a member has a pharmacy prior authorization (PA) with his or her plan? Will the member need a new PA?
Existing pharmacy prior authorizations for Hoosier Healthwise and Healthy Indiana Plan members will be systematically converted to the FFS claims processing system and honored through their expiration date. This process will be completed prior to implementation, but it may still be necessary for providers to obtain another prior authorization if the PA was not available for conversion.
Related Questions
- Can a doctor initiate a prior authorization (PA) request before the recipient arrives at the pharmacy and receives a claim denial?
- What if a member has a pharmacy prior authorization (PA) with their plan, will the member need a new PA?
- Is the pharmacy notified of the prior authorization (PA) decision?
