Automatic refills for prescriptions

Washington State Health Care Authority sent this bulletin at 07/01/2021 03:10 PM PDT

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Automatic refills for prescriptions

Effective July 1^st 2021, automatic refills are not permitted for clients enrolled in an agency contracted Apple Health Managed Care (MCO) or Apple Health fee-for-service plan. Clients must request a prescription refill before the pharmacy may submit a claim and fill the prescription.

An automatic refill is defined as any prescription refill the pharmacy initiates without a request from the client.

For questions, please email AppleHealthPharmacyPolicy@hca.wa.gov

About the Health Care Authority (HCA)

The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.

HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, the School Employees Benefits Board (SEBB) Program, and the COFA Islander Health Care Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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Nondiscrimination

The Washington State Health Care Authority (HCA) complies with all applicable federal and Washington state civil rights laws and is committed to providing equal access to our services. Visit HCA’s website to view complete nondiscrimination statements.