Health Care Authority (HCA) Response to Washington Flood Conditions for Pharmacy Providers
In response to the flooding occurring in Washington, Health Care Authority is authorizing Apple Health (Medicaid) Fee-for-Service pharmacy providers to furnish medications and supplies to clients as needed, if such products have been lost, destroyed, or have become inaccessible due to flood related conditions. *If a pharmacy claim rejects for refill-too-soon, pharmacies should resubmit the claim indicating the previous fill was lost, destroyed or inaccessible by entering a value of 5 in the Prior Authorization Type Code NCPDP field (461-EU). *If the medication requires authorization and the dispensing pharmacists determines there is an urgent need, the pharmacy may dispense as an emergency fill. Apple Health Emergency Fill Policy For more information, visit the HCA website by clicking the below button.
