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Related article: Affiliated Computer Services Pharmacy Provider Claims Processing Manual For Maryland Pharmacy Programs: Maryland Medical Assistance Program (MA) Maryland AIDS Drug Assistance Program (MADAP) Breast and Cervical Cancer Diagnosis and Treatment Program (BCCDT) Kidney Disease Program (KDP) Administered By: Affiliated Computer Services, Inc Government Healthcare Solutions Revised 4/03/2007 SECTION I INTRODUCTION Maryland Medicaid (MA), Breast and Cervical Cancer Diagnosis and Treatment Program (BCCDT), Kidney Disease Program (KDP) and Maryland AIDS Drug Assistance Program (MADAP) have contracted with AFFILIATED COMPUTER SERVICES, INC. to process all pharmacy claims using an enhanced point of sale (POS) system. This program will allow participating pharmacies real-time access to recipient eligibility, drug coverage, pricing and payment information, Prior Authorizations using our SmartPA technology, and prospective drug utilization review (ProDUR) across all network pharmacies. Pharmacy providers must be enrolled in the pharmacy program they are billing and have an active status for any dates of service submitted. This manual is intended to provide pharmacy claims submission guidelines to the users of the Affiliated Computer Services� (ACS) on-line system as well as to alert pharmacy providers to new or changed program information. Affiliated Computer Services� on-line system is used in conjunction with the pharmacy�s existing system. While there are a variety of different operating pharmacy systems, the information contained in this manual addresses only the response messages related to the interaction with ACS� on-line system, not the technical operation of the pharmacy-specific system. AFFILIATED COMPUTER SERVICES, INC. provides assistance through the Technical Call Center, which is available 24 hours a day, seven days a week. For answers to questions that are not addressed in this manual or if additional information is needed, contact AFFILIATED COMPUTER SERVICES, INC. at: (800) 932-3918 AFFILIATED COMPUTER SERVICES, INC. looks forward to working with you to ensure the success of the Maryland Medicaid (MA), Breast and Cervical Cancer Diagnosis and Treatment Program (BCCDT), Kidney Disease Program (KDP) and Maryland AIDS Drug Assistance Program (MADAP). SECTION II IMPLEMENTATION Effective February 4, 2007, Lorazepam 05 Mg all Maryland Medicaid, BCCDT, MADAP and KDP pharmacy claims should be processed through AFFILIATED COMPUTER SERVICES, INC. according to the specifications included in this manual. Check with your software vendor to ensure your system is ready to process according to the payer specifications. The State of Maryland will continue to provide payment and remittance advice on a weekly basis for MA, KDP, and BCCDT. MADAP provides payment on a bi-weekly basis. Affiliated Computer Services, Inc. will include provisions for the following groups within the Maryland Pharmacy Programs: Non-waiver eligible Medical Assistance recipients; Non-waiver eligible Medical Assistance recipients in long-term care facilities; Specialty Mental Health drugs for waiver and non-waiver eligible Medical Assistance recipients; Other drugs as determined Lorazepam 05 Mg by the Department for waiver eligible medical assistance recipients; PAC Program recipients; Kidney Disease Program recipients; Maryland AIDS Drug Assistance Program recipients; Breast and Cervical Cancer Diagnosis and Treatment Program recipients; and, Other recipients as determined by the Department
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