Pharmacy Point of Sale Replacement go-live April 27

Washington State Health Care Authority sent this bulletin at 02/14/2024 09:17 AM PST

February 14, 2024

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Pharmacy Point of Sale Replacement go-live Saturday, April 27

The Pharmacy Point of Sale (POS) Replacement Project is on track to go live Saturday, April 27. This is one day earlier than previously shared.

This will allow pharmacies who operate on the weekend to begin sending claims. We are working to minimize the disruption to pharmacy business hours as much as possible.

Pharmacy and switch vendor testing

We are planning to begin testing with pharmacies starting February 20 to verify connections and responses. We are still accepting volunteer pharmacies, specifically those who use Change Health, QS1, or Relay Health as switch vendors.

Email the Pharmacy POS Replacement Project if you are interested in testing pharmacy claims adjudication. Provide a name, email address, and NPI in your email for us to contact.

Changes affecting pharmacies and prescribers with the new POS

Providers can expect the following to change when the new system goes live:

Payer sheet specification requirements (coming late February)
Expedited authorization codes (coming late February)
The prescription drug program billing guide (coming early April)
A new pharmacy authorization fax number (to be shared days before go live)
Apple Health Preferred Drug List (AHPDL) classes and drug statuses (no later than April 1)

More information

Visit the Pharmacy POS Replacement Project webpage.
Email the Pharmacy POS Replacement Project with questions.

About the Health Care Authority (HCA)

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

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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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.