Provider Alert! Governor Greg Abbott Issues Disaster Declaration for Cherokee, Freestone, Houston, Leon, Madison, Nacogdoches, Robertson, San Augustine, and Shelby Counties.

Provider Alert! Governor Greg Abbott Issues Disaster Declaration for Cherokee, Freestone, Houston, Leon, Madison, Nacogdoches, Robertson, San Augustine, and Shelby Counties.

On April 18, 2019: Governor Greg Abbott issued a disaster declaration for the following counties Cherokee, Freestone, Houston, Leon, Madison, Nacogdoches, Robertson, San Augustine, and Shelby counties. If a member resides in one of these impacted areas named above Texas Children’s Health Plan will make every effort to assist them in obtaining medically necessary services.

PHARMACY: Navitus Pharmacy update related to disaster declaration:

Navitus has implemented the “Disaster Declaration and Refill Too Soon” process as a result of the severe weather, including thunderstorms and tornado events in the State of Texas. As part of our process the Refill Too Soon (RTS) rejects have been lifted so that members who are affected are able to access their medications without disruption. As part of invoking this process, the RTS edits are lifted at a member zip code level so if a member resides in an affected zip code they can go to any pharmacy in our service area (even out of their home state) and obtain medications without having to receiving a rejection. These RTS edits are lifted for the timeframe of April 12, 2019 to May 12, 2019. These edits are currently lifted for all lines of business.

Additional information will be posted as it becomes available.

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