On May 5, the Department of Medicaid Service (DMS) issued a statement asking pharmacies to hold off on reprocessing and rebilling TPL claims as requested by MedImpact in a recent communication to pharmacies. The statement, issued by Dr. Fatima Ali, Senior Director, Medicaid Pharmacy Services, reads: “DMS is requesting that pharmacies hold off on reversing and reprocessing claims until further guidance is provided in the upcoming days. DMS is exploring alternative solutions around the TPL issue and will provide additional updates ASAP. Thank you!” 

NACDS thanks the Kentucky Retail Federation and the Kentucky Pharmacists Association for their work on this issue and for sharing this information with us. We will keep members informed via email on any developments on this issue. 

For more information, contact NACDS’ Jill McCormack at 717-592-8977.