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  • Medicaid Provider Alert: Provider revalidation has begun and those not completing the process risk disenrollment.  Check your account now to learn when your revalidation is due. More information here.
Elizabeth M. Whitehorn, Director

Provider Notice Issued 12/20/2018

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Date:     December 20, 2018

 

To:        All Medical Assistance Providers

 

Re:       Exondys 51 and Spinraza Prior Authorization Criteria Update

 

 

Effective immediately, the Department of Healthcare and Family Services (HFS) has revised both its Exondys 51 and Spinraza prior authorization criteria.  The updated criteria can be found on the HFS Drug Prior Approval Criteria and Forms webpage.

 

 

The Exondys51 and Spinraza prior authorization requests should be submitted on the regular prior authorization form found on the HFS Drug Prior Approval Criteria and Forms webpage.

 

 

Teresa T. Hursey

Medicaid Director