MHCP Enrolled Providers – Pharmacies

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  • • Minnesota Medicaid Version D.0 NCPDP Payer Sheet is now available
  • • To request a drug prior authorization:
  • • Beginning January 1, 2011, contact the new MHCP Prescription Drug PA Agent – 1-866-205-2818 (Phone) or 1-866-648-4574 (Fax)
  • • Sign up to get e-mail notices of new Provider Updates, RA messages, etc.

    • Latest News

    Provider Updates

    Pharmacy and Medical Supply Related Lists

    PA Criteria and Regimen Review Sheets

    Prior Authorization Forms

    State Managed Pharmacy Related Programs

    Patient Drug Assistance Programs

    Resource Documents/Forms

    Billing Information

    Provider Manual

    Committees and Meeting Notices

    MN–ITS View/Access

    Telephone Numbers and Contacts

    Provider Call Center (651) 431-2700 or 1-800-366-5411

  • • OPTION 1: MHCP Provider Call Center
  • • OPTION 5: MHCP Provider Enrollment
  • • OPTION 6: MN-ITS Registration or PA Password resets
  • • Verify recipient eligibility online via MN–ITS for up to 50 recipients at one time

    • To verify drug coverage for a specific National Drug Code (NDC) use the new NDC Search available under Related Pages of the MHCP Enrolled Providers Homepage

    Senior Linkage Line 1-800-333-2433

    Contact Information

  • • Sara Drake, RPh, MPH, MBA, Pharmacy Program Manager: sara.j.drake@state.mn.us
  • • Jarvis Jackson, R.Ph., Drug Rebate Coordinator: jarvis.jackson@state.mn.us
  • • Mary Beth Reinke, Pharm.D., MSA, Drug Utilization Review Coordinator: mary.beth.reinke@state.mn.us
  • • Elizabeth Matty, R.Ph, Pharmacy Consultant: Elizabeth.a.matty@state.mn.us
  • • Adam Pavek, Pharm.D., Clinical Pharmacist: Adam.a.pavek@state.mn.us

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