Medi-Cal Enrollment Required for Partnership HealthPlan of CA Effective January 1, 2018
Beginning January 1, 2018, the Medicaid Final Rule requires that all prescribers and pharmacies must enroll with their respective State Fee for Service (FFS) program to ensure continued participation in Medicaid Managed Care networks. This enrollment process results in obtaining a Medicaid ID. Although these IDs have always been a requirement to participate in the FFS program (Medi-Cal), they were not previously required for Managed Care Organizations, unless specifically outlined by each state.
Pharmacies must enroll into the Medi-Cal system through the Department of Health Care Services (DHCS). Below is a web link with information on application for enrollment through DHCS. If you are not currently a Medi-Cal FFS provider we strongly encourage your pharmacy to enroll into the Medi-Cal program to continue servicing PHC members.
Partnership HealthPlan of California (PHC) has partnered with AllianceRx Walgreens Prime (formerly Walgreens Specialty Pharmacy) as the exclusive preferred specialty pharmacy for Limited Distribution Drugs (LDD). Medications not on this list will remain available at any Partnership HealthPlan network pharmacy that can fill a prescription for the medication.
Click Here for the list of limited distribution medications that will be exclusively serviced by AllianceRx Walgreens Prime. You may also call AllianceRx Walgreens Prime at (866)-202-4014 for questions regarding their specialty pharmacy services