Effective Feb. 1, 2010, prescription drug coverage for members of all Ohio Medicaid MCPs will transfer to the Medicaid fee-for-service (FFS) program.
Prescription drug claims beginning with a Feb. 1, 2010, date-of-service for all Unison Medicaid members should be billed through the Ohio Medicaid Program POS vendor, ACS.
ACS Billing Details
BIN: 610084
PCN: DROHPROD
Group: OHMEDICAID
The member ID number submitted should be the MMIS billing number, which is indicated on the member’s Unison identification card.
Members may receive prescriptions at any pharmacy that accepts Ohio Medicaid. If a member is planning to travel out-of-state, you will need to work with the member to make sure they have enough meds to cover them while they are traveling. Most out of state pharmacies will not take Ohio Medicaid.
If a member is pregnant, ask the member to enroll their newborn in Medicaid right away. Ohio Medicaid does not recognize the mother’s coverage as immediate coverage for the newborn. Therefore, the newborn will incur prescription drug denials until they are enrolled in Medicaid.
For information about Requesting Authorization for Injectables in Ohio, click here.
Questions about prescription drug coverage or a pharmacy may be directed to the Ohio Medicaid Consumer Hotline at 1.800.324.8680 or TTY 1.800.292.3572. The Hotline is open Monday-Friday 7 a.m. – 8 p.m., and Saturday 8 a.m.– 5 p.m.
The website http://jfs.ohio.gov/ohp/bhpp/meddrug.stm lists prescriptions.