Important Update for Pharmacy Benefits Change: April 1, 2021
| Date: | November 20, 2020 |
| To: | Health Plan of San Joaquin (HPSJ) Provider Network |
| From: | Health Plan of San Joaquin |
| Subject: | Important Update for Pharmacy Benefits Change: • NEW – Effective Date moved to April 1, 2021 • State requests continued registration & preparation • Meanwhile: No change – HPSJ will continue to offer the pharmacy benefit until April 1, 2021 |
| Business: | Medi-Cal |
Effective Date moved from January 1 to April 1, 2021
Per guidance (11/16/20) from the California Department of Health Care Services (DHCS)-
- By April 1, 2021, Health Plan of San Joaquin pharmacy benefits will be transitioned to and administered by the agency Medi-Cal Rx.
- ALL outpatient pharmacy drugs will then be covered by Medi-Cal Rx.
- DHCS has partnered with Magellan Medicaid Administration, Inc. to provide this benefit and support Medi-Cal Rx.
With this extra time to prepare – (4) Things you can do NOW!
1. Register for the secure Medi-Cal Rx Provider Web Portal.
2. Create a plan for your HPSJ patients’ medication starting April 1, 2021. DHCS has
created a transition plan to ensure that coverage for beneficiaries’ medication will continue
from April 1, 2021.
3. Review online, www.Medi-CalRx.dhcs.ca.gov:
- Medical Rx Pharmacy Transition Policy
- Contract Drug List (CDL) and List of covered pharmacy providers
4. Call, if you have questions:
- BEFORE APRIL 1, 2021: Medi-Cal Member Help Line, 1-800-541-5555 TTY/TDD 711, Monday through Friday, 8 am to 5 pm.
- AS OF APRIL 1, 2021: Medi-Cal Rx Call Center Line, 1-800-977-2273 TTY/ TDD 711, 24/7, or visit www.Medi-CalRx.dhcs.ca.gov
During this transition, HPSJ wants to make sure our members are served without disruption – and you, your staff and business operations are supported. Look for more from HPSJ in coming days.