You must have Javascript turned on in order to use this site.
Managed Care Contact Information
  • Passport Health Plan
Kentucky Department for Medicaid Services
Pharmacists and Physicians
  • Pharmacy Support Center
    1-800-432-7005 (24 hours per day / 7 days per week)
  • Clinical Support Center
    1-800-477-3071 (24 hours per day / 7 days per week)

Please note Kentucky Medicaid began allowing telephonic prior authorization requests on July 1, 2010. Drug specific prior authorization requests and Brand prior authorization requests must still be submitted via fax.

Diabetic Supply Questions
  • Prior Authorization
    1-800-477-3071
  • Claim Inquiry
    1-800-432-7005

Please note questions regarding claims prior to October 5, 2010 should be directed to 1-800-807-1232.

Provider Financial Inquiries

For inquiries related to remittance advices please contact Provider Operations at: (800) 441-6001.

DME (Durable Medical Equipment) Questions
  • DME Prior Authorization
    1-800-292-2392 (select option #7)
  • DME Claim Payment
    1-800-807-1232

Please note that these lines are not operated by the Magellan Medicaid Administration Pharmacy department.

Provider Enrollment
  • Provider Services
    1-877-838-5085 (M-F, 10:00 AM - 4:30 PM ET)
Member Services
  • Member Services
    1-800-635-2570 (M-F, 8:00 AM – 5:00 PM ET)
Phone Numbers for Medicare Part D Support
  • Medicare phone line for members
    1-800-MEDICARE (1-800-633-4227) (24hrs/day, 7 days/week)
  • Medicare dedicated line for pharmacy professionals and providers only
    1-866-835-7595 (M-F, 8am to 8pm)
Contact Information
  • For policy questions regarding Fraud and Abuse:
    Division of Program Integrity
    275 East Main Street, 6EA
    Frankfort, KY 40601
    Phone: (502) 564-5472
  • To report Fraud or Abuse:
    Cabinet for Health and Family Services
    Office of the Inspector General
    Division of Special Investigations
    275 East Main Street, 5ED
    Frankfort, Kentucky 40621
    Phone / Toll Free: (800) 372-2970
Websites
View All Archived Prescription Alerts
Prescription Alerts
July 2013

Please be on the lookout for stolen Rx pads from Blaine Lisner, M.D. in Louisville, Kentucky. The office is located at 3934 Dixie Hwy. #345. They reported numerous prescription blanks were taken from their facility. If you receive a suspicious written Rx, please try and get as much information as possible, save any recorded messages and notify your local police department. Also, please note any vehicle or suspect descriptions if someone arrives to pick up a prescription written by Dr. Lisner. Thank you!

Detectives can be reached regarding this or any other suspected prescription related offense at 502-574-6272 or at any of the numbers attached. Remember, in an emergency, call 9-1-1.

June 2013

Please be on the lookout for stolen Rx pads from Kings Daughters Hospital (Hilltop Clinic, 445 Clifty Drive) in Madison, Indiana. They recently had a burglary and reported missing controlled substance prescription blanks from their facility. Some of the prescribers listed on the prescription blanks include: Jonathan B. Hanson, MD, John P. Hossler, MD, Alan P. Culbreth, MD, Phillip A Ross, MD, Mark D. Totten, MD, Larry V. Williams, MD, Vikki Conners, FNP-C, Scott H. Murphy, MD, Roy W. Miner, MD, and Steven D. Adams, MD. If you receive a suspicious written Rx, please try and get as much information as possible, save any recorded messages and notify your local police department. Also, please note any vehicle or suspect descriptions if someone arrives to pick up a prescription written by one of these medical professionals. Thank you!

Detectives can be reached regarding this or any other suspected prescription related offense at 502-574-6272 or at any of the numbers attached. Remember, in an emergency, call 9-1-1.

Archived Web Announcements

2015 Archive

November 2015

Pharmacy and Therapeutics (P & T) Advisory Committee Meetings Update

NOTICE: The P & T meeting scheduled for November 19, 2015 was not able to attain quorum.

* The next scheduled meeting is on January 21, 2016.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting scheduled for December 10, 2015 was not able to attain quorum.

* The next scheduled meeting is on March 10, 2016.

August 2015

Pharmacy and Therapeutics (P & T) Advisory Committee Meetings Update

NOTICE: The P & T meeting scheduled for September 17, 2015 was not able to attain quorum.

* The next scheduled meeting is on November 19, 2015.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting scheduled for September 10, 2015 was not able to attain quorum.

* The next scheduled meeting is on December 10, 2015.

July 2015

Pharmacy and Therapeutics (P & T) Advisory Committee Meetings Update

NOTICE: The P & T meeting scheduled for July 16, 2015 was not able to attain quorum.

* The next scheduled meeting is on September 17, 2015.

May 2015

Pharmacy and Therapeutics (P & T) Advisory Committee Meetings Update

NOTICE: The P & T meeting scheduled for May 21, 2015 was not able to attain quorum.

* The next scheduled meeting is on July 16, 2015.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting scheduled for June 11, 2015 was not able to attain quorum.

* The next scheduled meeting is on September 10, 2015.

February 2015

Pharmacy and Therapeutics (P & T) Advisory Committee Meetings Update

NOTICE: The P & T meeting scheduled for March 19, 2015 was not able to attain quorum.

* The next scheduled meeting is on May 21, 2015.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting scheduled for March 12, 2015 was not able to attain quorum.

* The next scheduled meeting is on June 11, 2015.

2014 Archive

December 2014

Pharmacy and Therapeutics (P & T) Advisory Committee Meetings Update

NOTICE: The P & T meeting scheduled for January 15, 2015 was not able to attain quorum.

* The next scheduled meeting is on March 19, 2015.

November 2014

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting scheduled for December 11, 2014 was not able to attain quorum.

* The next scheduled meeting is on March 12, 2015.

Pharmacy and Therapeutics (P & T) Advisory Committee Meetings Update

NOTICE: The P & T meeting scheduled for November 20, 2014 was not able to attain quorum.

* The next scheduled meeting is on January 15, 2015.

September 2014

Pharmacy and Therapeutics (P & T) Advisory Committee Meetings Update

NOTICE: The P & T meeting scheduled for September 18, 2014 was not able to attain quorum.

* The next scheduled meeting is on November 20, 2014.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting scheduled for September 11, 2014 was not able to attain quorum.

* The next scheduled meeting is on December 11, 2014.

July 2014

Pharmacy and Therapeutics (P & T) Advisory Committee Meetings Update

NOTICE: The P & T meeting scheduled for July 17, 2014 was not able to attain quorum.

* The next scheduled meeting is on September 18, 2014.

May 2014

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting scheduled for June 12, 2014 was not able to attain quorum.

* The next scheduled meeting is on September 11, 2014.

April 2014

Pharmacy and Therapeutics Advisory Committee (P & T) Meetings Update

NOTICE: The P & T meeting scheduled for May 15, 2014 was not able to attain quorum.

* The next scheduled meeting is on July 17, 2014.

February 2014

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting scheduled for March 13, 2014 was not able to attain quorum.

* The next scheduled meeting is on June 12, 2014.

2013 Archive
Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The PTAC meeting scheduled for January 16, 2014, has been cancelled due to lack of quorum.
* The next scheduled meeting is on March 20, 2014.

2014 Plan Design Changes

On January 1, 2014, Kentucky Medicaid will implement new copayments and cost sharing policies. The new copay structure will be as follows:

  • $1 for all generics
  • $4 for preferred brands
  • $8 for non preferred brands

Exceptions to the above copay requirements will be:

  • The following drug classes:
    • Family planning, no copays
    • Tobacco Cessation, no copays
    • 2nd Generation Antipsychotics and Injectable Antipsychotics, $1 copay
    • Anticonvulsants, non-preferred brands, $4 copay
    • Oral Oncology, non-preferred brands, $4 copay
    • Diabetic Supplies
      • Meters, no copays
      • Test strips, control solutions, insulin needles, lancets, etc., $4 copay with no more than one copay per calendar day being charged
  • The following eligibility groups are excluded from the generic ($1) and preferred brand ($4) copay; however, they ARE subject to the non preferred brand ($8) copay:
    • Children defined as age <19 years, except for those children eligible under the KCHIP 3 program:
      • Children enrolled in the KCHIP 3 kids plan will be subject to the generic ($1) and preferred brand ($4) copay, as well as the non preferred brand ($8) copay.
    • Pregnant women, as identified by NCPDP Field # 335-2C = "2" (pregnant)
    • LTC members, as identified by patient residence field (NCPDP Field # 384-4X) = "2", "3", "4", "5", "6", or "9". In the case of a partial fill, this copay will be due in full at the time of the first fill.
  • Copayments will be accumulated so that they do not exceed 5% of the family income on a quarterly basis.
Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting scheduled for November 14 2013, has been cancelled due to lack of quorum.

National Prescription Drug Toss - Saturday, October 26, 2013

The Drug Enforcement Administration (DEA) has designated Saturday, October 26, 2013, from 10:00 a.m. to 2:00 p.m. as a drug take-back day.

The National Prescription Drug Take-Back Day aims to provide a safe, convenient, and responsible means of disposing of unnecessary prescription drugs, while also educating the general public about the potential for medication abuse.

According to a recent report by the Trust for America's Health, Kentucky has the third-highest rate of fatal overdoses. The majority of these deaths are from prescription medications.

There are currently more than 70 prescription drug collection sites in Kentucky that will be open on Saturday, October 26th, from 10:00 a.m. to 2:00 p.m. for drug tossing. Please refer to the following link for additional information or to locate a collection site near you.

www.deadiversion.usdoj.gov/drug_disposal/takeback/index.html

We hope Kentuckians will participate in this event and help rid Kentucky of the potential harm from unnecessary prescription drugs.

Benzodiazepine Duration Edit Override

Effective August 15, 2013, the prescriber must call 800-477-3071 for all requests for override of the benzodiazepine duration edit.

Attention Kentucky Medicaid Members: New Warnings about the use of Acetamenophen (Tylenol)

On August 1, 2013, the Food and Drug Administration issued a warning that acetaminophen (Tylenol) products may cause serious skin reactions. Prescription medications containing acetaminophen (Tylenol), over-the-counter medications containing acetaminophen (Tylenol), products containing only acetaminophen (Tylenol), and products containing acetaminophen (Tylenol) in combination with other medications may cause serious skin reactions. These skin reactions may cause reddening of the skin, rash, blisters, and detachment of the upper surface of the skin. These reactions could be life threatening. If you have a skin reaction and you are taking acetaminophen (Tylenol), stop taking the medicine immediately and call your doctor.
Additionally, to help prevent the potential for serious liver disease, members are encouraged to keep their daily dose of acetaminophen (Tylenol) to no more than 3,000 mg per day.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting scheduled for August 8, 2013, has been cancelled due to lack of quorum.

Rx Alert! Stolen Prescription Pads

Please be on the lookout for stolen Rx pads from Blaine Lisner, M.D. in Louisville, Kentucky. The office is located at 3934 Dixie Hwy. #345. They reported numerous prescription blanks were taken from their facility. If you receive a suspicious written Rx, please try and get as much information as possible, save any recorded messages and notify your local police department. Also, please note any vehicle or suspect descriptions if someone arrives to pick up a prescription written by Dr. Lisner. Thank you!

Detectives can be reached regarding this or any other suspected prescription related offense at 502-574-6272 or at any of the numbers attached. Remember, in an emergency, call 9-1-1.

Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The PTAC meeting scheduled for July 18, 2013, has been cancelled due to lack of quorum.
* The next scheduled meeting is on September 19, 2013.

Rx Alert! Stolen Prescription Pads

Please be on the lookout for stolen Rx pads from Kings Daughters Hospital (Hilltop Clinic, 445 Clifty Drive) in Madison, Indiana. They recently had a burglary and reported missing controlled substance prescription blanks from their facility. Some of the prescribers listed on the prescription blanks include: Jonathan B. Hanson, MD, John P. Hossler, MD, Alan P. Culbreth, MD, Phillip A Ross, MD, Mark D. Totten, MD, Larry V. Williams, MD, Vikki Conners, FNP-C, Scott H. Murphy, MD, Roy W. Miner, MD, and Steven D. Adams, MD. If you receive a suspicious written Rx, please try and get as much information as possible, save any recorded messages and notify your local police department. Also, please note any vehicle or suspect descriptions if someone arrives to pick up a prescription written by one of these medical professionals. Thank you!

Detectives can be reached regarding this or any other suspected prescription related offense at 502-574-6272 or at any of the numbers attached. Remember, in an emergency, call 9-1-1.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting scheduled for May 9, 2013, has been cancelled due to lack of quorum.

Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The PTAC meeting scheduled for May 16, 2013, has been cancelled due to lack of quorum.
* The next scheduled meeting is on July 18, 2013.

National Prescription Drug Take-Back Day

NOTICE: The Drug Enforcement Administration (DEA) has scheduled a National Prescription Drug Take-Back Day which will take place on Saturday, April 27, 2013, from 10:00 a.m. to 2:00 p.m. Please refer to the following link for additional information or to locate a collection site near you: www.deadiversion.usdoj.gov/drug_disposal/takeback/index.html.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting scheduled for February 14, 2013, has been cancelled due to lack of quorum.

Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The PTAC meeting scheduled for January 17, 2013, has been cancelled due to lack of quorum.
* The next scheduled meeting is on March 21, 2013.

2012 Archive
Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting scheduled for Thursday, November 8th has been cancelled due to lack of quorum.

Pharm Alert! Stolen Prescription Pads

Please be on the lookout for stolen Rx pads from the office of Dennis Campbell, MD, Lisa Caldwell, APRN, Gari Michelle Kiser,APRN. The office is located at 108 12th Street, Clay City, KY. If you receive a suspicious written Rx, please try and get as much information as possible, save any recorded messages and notify your local police department. Also, please note any vehicle or suspect descriptions if someone arrives to pick up a prescription written by one of these medical professionals.

Pharm Alert! Fraudulent Prescriptions

Currently there is an unknown person(s) phoning in prescriptions for John Richard, MD off of Whitley City, KY. The prescriptions are for hydrocodone/APAP for various strengths and quantities. Please verify any phoned in prescriptions from Dr. Richard.

Cutoff for Non-licensed Providers

NOTICE: Kentucky Medicaid pharmacy providers that have not submitted their current license will be terminated on August 31, 2012. Claims submitted by termed providers will deny. Please contact Provider Services at (877) 838-5085 to verify that your current license is on file.

Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The PTAC meeting scheduled for Thursday, September 20th has been cancelled due to lack of quorum.

* Next scheduled meeting date: November 15, 2012.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting scheduled for Thursday, August 9th has been cancelled due to lack of quorum.

* Next scheduled meeting date: November 8, 2012.

Pharm Alert! Fraudulent Prescriptions

Currently there is an unknown person(s) phoning in prescriptions for Karabeth Moore, MD off of Nicholasville Rd., Lexington, KY. The prescriptions are for Lortab 10mg for various quantities. Please verify any phoned in prescriptions from Dr. Moore.

Pharm Alert! Fraudulent Prescriptions

Currently there is an unknown person(s) phoning in prescriptions for Cheryl Thomas, MD from the St. Joseph East Emergency Room. The prescriptions are for Tramadol 50mg for a quantity of 90-120. Please verify any phone in prescriptions from Dr. Thomas.

Rx Alert! Stolen Prescription Pads

Please be on the lookout for possible stolen Rx pads from the Dental office of Dr. Leslie Michele James. Her office is located at 2800 Breckenridge Lane and she is the only Dentist in the office. She suspects the pad was stolen over the last few weeks. If you receive a suspicious written Rx or call using her DEA #, please try and get as much information as possible, save any recorded messages and notify detectives at 502-574-6272. Also, please note any vehicle or suspect descriptions if someone arrives to pick up any of these prescriptions. Thank you!

Detectives can be reached regarding this or any other suspected prescription related offense at 502-574-6272 or at any of the numbers attached. Remember, in an emergency, call 9-1-1.

Pharm Alert! Fraudulent Prescriptions

Currently there is an unknown person(s) phoning in prescriptions for Dr. John Hayslip, MD from the University of Kentucky Cancer Center. The prescriptions are for Lortab 10mg for a quantity of 90. Please verify any phone in prescriptions from Dr. Hayslip.

Important Information Regarding HIPAA compliant EDI835 files

As of June 15, 2012 you will be REQUIRED to receive all HIPAA compliant EDI835 files from our new and enhanced site ftp02.magellanhealth.com. To avoid any interruptions in accessing your 835s, please click on the following link, Trading Partner FTP Instructions and follow the SFTP set-up instructions prior to June 15, 2012. If you have any questions or concerns, please contact the EDI Helpdesk at 1-800-924-6741.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB scheduled meeting for May 10, has been cancelled due to lack of quorum.
* Next scheduled meeting dates: August 9, 2012 and November 8, 2012.

Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The PTAC scheduled meeting for May 17, has been cancelled due to lack of quorum.

* Next scheduled meeting dates: July 19, 2012, September 20, 2012 and November 15, 2012.

Drug Management Review Advisory Board (DMRAB) Update

* Next scheduled meeting dates: May 10, 2012, August 9, 2012 and November 8, 2012.

Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The PTAC meeting that was scheduled for January 19, 2012 has been cancelled due to lack of quorum.

2011 Archive
Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The PTAC scheduled meeting dates so far for 2012 are listed below. The meetings will be from 1:00 PM to 5:00 PM in the Capitol Annex Building; Room 131. Information related to these meetings will be posted to the web under the Committees tab. Click on the link for PTAC.

* Next scheduled meeting dates: January 19, 2012 and March 15, 2012.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB scheduled meeting dates so far for 2012 are listed below. The meetings will be from 1:00 PM to 5:00 PM in the Capitol Annex Building; Room 131. Information related to these meetings will be posted to the web under the Committees tab. Click on the link for DMRAB

* Next scheduled meeting dates: February 9, 2012.

Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The PTAC meeting that was scheduled for November 17, 2011 has been cancelled due to lack of quorum.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB meeting that was scheduled for November 10, 2011 has been cancelled due to lack of quorum.

Maintenance Window Extended

The Kentucky Department for Medicaid Services and Magellan Medicaid Administration will be extending the regularly scheduled maintenance window on Saturday, October 15, 2011. Claims adjudication will stop on Saturday, October 15, 2011, at 11:00 p.m. ET and restart on Sunday, October 16, 2011, at 9:00 a.m. ET (10 hours).

Rx Alert! Fraudulent Prescriptions

Currently there is an unknown female phoning in prescriptions and identifying herself as "Dawn" or "Donna" from the Leatherman Spine Center. She is ordering prescriptions using the names & DEA #s of Dr. Rolando Puno or Dr. Steven Glassman for Lortab 10 #60 or Lorcet 10 #40 and a variety of fictitious patient names. These prescriptions are usually picked up the following day in the drive thru. If you receive a similar call, or any suspicious call, please try and get as much information as possible, save any recorded messages and notify detectives at 574-6272. Also, please note any vehicle or suspect descriptions if someone arrives to pick up any of these prescriptions.

Detectives can be reached regarding this or any other suspected prescription related offense at 574-6272 or at any of the numbers on the attachment. Remember, in an emergency, call 9-1-1.

Implementation Date for Medicaid Managed Care Extended

On September 19, 2011, the Cabinet for Health and Family Services (CHFS) Secretary Janie Miller announced that the implementation date for Medicaid Managed Care, targeted for October 1, 2011, will be extended one month, an option provided in the contracts with managed care organizations. The Cabinet has granted the extension in response to a request from the Kentucky Hospital Association (KHA).

Rx Alert! Stolen Prescription Pads

Alert 1: A pad of Prescription Blanks has been stolen from the office of Dr. Kevin O’Koon. Please verify with Dr. O’Koon before filling any prescriptions.

Please verify all Rx’s with the listed doctor(s) and contact any the Prescription Drug Diversion Unit at (502) 574-6272.

Alert 2:Rx blanks have also been removed from Suburban hospital. The following doctors’ names have been used.

  • Dr. Steven Cawood
  • Dr. Christopher Krieg
  • Dr. Steven Richards
  • Dr. Robert Pringle
  • Dr. Jillian Sterman

Please verify all RX’s with the listed doctor(s) and contact any the Prescription Drug Diversion Unit at (502) 574-6272.

ATTENTION! ATTENTION! ATTENTION!

In order to better monitor the prescriptions and the care of Medicaid members, the Kentucky Department for Medicaid Services (DMS) will require all prescribing providers to enroll with DMS as credentialed practitioners. Effective July 5, 2011, DMS will no longer add non-Medicaid prescribers to our files and there will be no reimbursement for prescriptions by non-Medicaid providers, which will result in prescriptions denying. Please notify your patients that if they accept a prescription from a non-Medicaid provider, DMS will not pay for the prescription. For information about enrollment and to download an application (MAP 811) please visit our website at: http://www.chfs.ky.gov/dms/provEnr.

If you have any questions or need assistance in completing the enrollment documentation, please contact the Provider Services Branch at 877-838-5085 Monday-Friday 10:00 am to 4:30 pm.

Rx Alert! Stolen Prescription Pads

Alert 1: Recently the office of Doctor Richard Goldstein in Charlestown, IN was burglarized. During the burglary several controlled substance prescription blanks were stolen. These will probably be used both in Indiana and Kentucky. If you receive any of these prescriptions, please call the LMPD prescription Drug Diversion Unit at 502-574-6272.

(In Indiana you can call the Sellersburg ISP Post at 812-246-5424. If you have information regarding this burglary, please call the Sellersburg Post and ask to speak with Trooper Tracy Spencer.)

Alert 2: Be on the lookout for stolen or suspicious prescriptions from Doctor Jagdish Kothari, Dr. Renu Mehta and Dr. Mini Aggarwal. A pad of prescription blanks is missing. Please call the Prescription Drug Diversion Unit at 574-6272 if you receive one of these prescriptions.

Rx Alert! Louisville Area Pharmacies
Prescriptions for Dr. Noel, 3612 Lexington Rd, Louisville, KY 40207

Currently someone is calling in several fraudulent prescriptions using Dr. Noel's information. These are typically being called in after 4:00 pm or anytime during the weekend, when Dr. Noel is out of the office. The caller is identifying themselves as "Theresa." The prescriptions are for Lortab.

If you receive any of these phoned prescriptions, please contact the LMPD Prescription Drug Diversion Unit at (502) 574-6272. If it is an emergency, call 9-1-1

Rx Alert! ALL PHARMACIES IN THE LOUISVILLE METRO AREA

A white male with dark blonde hair and blue eyes, estimated to be in his early 30’s is the listed subject in possession of stolen Norton Leatherman Spine Institute prescription blanks. The subject is having the prescription blanks filled for Lortab 10/500 #180 and #240 at several pharmacies throughout Metro Louisville. Subject is also phoning in prescriptions claiming to be Dr. John Johnson of the Leatherman Spine Center. Again, all phoned in prescriptions are well into the #180 and #240 dosage unit range. The detective has identified seven (7) individual names being used to obtain this medication. This individual has used his ID and signature to obtain the prescriptions. He has also used Dr. Robert Couch and Dr. David Roubin.

Please notify the LMPD Prescription Drug Diversion Unit at (502) 574-6272 if you encounter this individual. Dial 9-1-1 in case of emergency.

Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The PTAC meeting that was scheduled for January 20, 2011 has been cancelled due to lack of quorum.

* Next scheduled meeting dates: March 17, 2011, May 19, 2011, July 21, 2011, September 15, 2011, and November 17, 2011.

2010 Archive
Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The PTAC scheduled meeting dates for 2011 are listed below. The meetings will be from 1:00 PM to 5:00 PM in the Capitol Annex Building; Room 113. The Agenda, Drug Review Options, and Speaker Request Form will be posted to the web under the Committees tab. Click on the link for PTAC.

* January 20, 2011, March 17, 2011, May 19, 2011, July 21, 2011, September 15, 2011, and November 17, 2011.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The DMRAB scheduled meeting dates for 2011 are listed below. The meetings will be from 1:00 PM to 5:00 PM in the Capitol Annex Building; Room 113. The Agenda and Speaker Request Form will be posted to the web under the Committees tab. Click on the link for DMRAB.

* February 10, 2011, May 12, 2011, August 11, 2011, and November 10, 2011.

Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The next PTAC meeting has been scheduled for November 18, 2010 from 1:00 PM to 5:00 PM in the Capitol Annex Building; Room 113. The Agenda, Drug Review Options, and Speaker Request Form will be posted to the web under the Committees tab. Click on the link for PTAC.

UPCOMING CHANGES: The Department for Medicaid Services is in the process of evaluating the Public Comment portion of the Pharmacy and Therapeutics Advisory Committee (PTAC) meetings. These new requirements will be communicated in future announcements and/or notices.

If you have any questions, please contact Kasie Purvis at (502) 395-0949 or KLPurvis@magellanhealth.com.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The next DMRAB meeting is scheduled for November 4, 2010 from 1:00 PM to 5:00 PM in the Capitol Annex Building, Room 113.

KY Medicaid Pharmacy Update - IMPORTANT ANNOUNCEMENT - NonMedicaid Prescribers

In order to better monitor the prescriptions and the care of Medicaid members, the Department will require all prescribing providers to enroll with DMS as credentialed practitioners. DMS will begin outreach to non-enrolled prescribers to assist with the enrollment process. Effective September 1, 2010, DMS will no longer add non-Medicaid prescribers to our files. Effective October 1, 2010, there will be no reimbursement for prescriptions by non-Medicaid providers, which will result in prescriptions denying. Please notify your patients that if they accept a prescription from a non-Medicaid provider, DMS will not pay for the prescription. For information, refer to the provider enrollment website at www.chfs.ky.gov/dms/provEnr/.

Pharmacy and Therapeutics Advisory Committee (PTAC) Update - Cancellation

NOTICE: The PTAC meeting that was scheduled for July 15, 2010 from 1:00 PM to 5:00 PM in the Capitol Annex Building, Room 113 has been cancelled due to lack of quorum.

If you have any questions, please contact Kasie Purvis at (502) 395-0949 or KLPurvis@magellanhealth.com.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The next DMRAB meeting is scheduled for August 12, 2010 from 1:00 PM to 5:00 PM in the Capitol Annex Building, Room 113. The agenda has been posted to the Committee tab under DMRAB.

Important Announcement: Revenue Tax Interception began May 15, 2010

Effective May 15, 2010, the Department for Medicaid Services (DMS) and the Department of Revenue are combining efforts to collect on outstanding debts due to any Commonwealth of Kentucky State agency.

To learn more how this may affect you, refer to the Revenue Tax Intercept Letter.

Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The next PTAC meeting is scheduled for July 15, 2010 from 1:00 PM to 5:00 PM in the Capitol Annex Building, Room 113. The agenda, speaker request form, and drug review options are posted on the PTAC page. Use the Committees drop down tab to locate the PTAC page.

If you have any questions, please contact Kasie Purvis at (502) 395-0949 or KLPurvis@magellanhealth.com.

Drug Management Review Advisory Board (DMRAB) Update

NOTICE: The next DMRAB meetings have been scheduled for August 12, 2010 from 1:00 PM to 5:00 PM and November 4, 2010 from 1:00 PM to 5:00 PM in the Capitol Annex Building, Room 113. The agenda(s) will be posted in the near future.

IMPORTANT ANNOUNCEMENT:

The Centers for Medicare & Medicaid Services (CMS) is hosting an "Open Door Forum Conference Call" to provide an opportunity for live dialogue between CMS and the Medicaid provider community in the States of Kentucky, Nebraska, North Carolina, Tennessee, and South Carolina. The call will be held Wednesday, June 16, 2010 at 3:00pm to 4:30pm, ET. Please click on the following link for more details: Payment Error Rate Measurement (PERM) Program.

Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The next PTAC meeting is scheduled for May 20, 2010 from 1:00 PM to 5:00 PM in the Capitol Annex Building, Room 113. The agenda, speaker request form, and drug review options are posted under the Committees tab.

If you have any questions, please contact Kasie Purvis at (502) 395-0949 or KLPurvis@magellanhealth.com.

UPDATE: Zyvox® Prior Authorization Criteria

The Department for Medicaid Services has made a change in policy related to the use of Zyvox®. The Department will closely follow the new recommendations from the Pharmacy and Therapeutics Advisory Committee in conjunction with Infectious Disease experts in the state for the appropriate utilization of Zyvox®. As a result, a drug specific prior authorization fax form has been developed.

Please click here for the Zyvox® specific prior authorization form or go to Provider Forms and click on PA Request Form Zyvox.

Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The next PTAC meeting will be held on March 18, 2010 from 1:00 PM to 5:00 PM in the Capitol Annex Building, Room 113. The agenda, speaker request form, and drug review options have been posted.

If you have any questions, please contact Kasie Purvis at (502) 395-0949 or KLPurvis@magellanhealth.com.

Pharmacy and Therapeutics Advisory Committee (PTAC) Update

NOTICE: The January 21, 2010 meeting of the Pharmacy and Therapeutics Committee was cancelled. The next meeting will be March 18, 2010 from 1:00 PM to 5:00 PM in the Capital Annex room 113. The agenda, speaker request form, and drug review options will be postedsoon.

If you have any questions, please contact Kasie Purvis at (502) 395-0949 or KLPurvis@magellanhealth.com.

UPDATE: 2009-2010 RSV Season

The Department for Medicaid Services has made a change in policy related to the use of Synagis®. The Department will closely follow the new recommendations from the American Academy of Pediatrics for the appropriate utilization of Synagis® for the prevention of respiratory syncytial virus (RSV). As a result, the 2009 RSV season will begin November 1, 2009 and continue through March 31, 2010.

Please click here for the provider notification or go to Provider Notices and click on Pharmacy Provider Notice #076 Synagis Change

Please click here for the Synagis® specific prior authorization form or go to Provider Forms and click on PA Request Form Synagis.

Please click here for the Synagis® flyer than can be posted in/around your facility or office.

Archived Prescription Alerts

2013 Archive
Rx Alert! Stolen Prescription Pads

Please be on the lookout for stolen Rx pads from Blaine Lisner, M.D. in Louisville, Kentucky. The office is located at 3934 Dixie Hwy. #345. They reported numerous prescription blanks were taken from their facility. If you receive a suspicious written Rx, please try and get as much information as possible, save any recorded messages and notify your local police department. Also, please note any vehicle or suspect descriptions if someone arrives to pick up a prescription written by Dr. Lisner. Thank you!

Detectives can be reached regarding this or any other suspected prescription related offense at 502-574-6272 or at any of the numbers attached. Remember, in an emergency, call 9-1-1.

Rx Alert! Stolen Prescription Pads

Please be on the lookout for stolen Rx pads from Kings Daughters Hospital (Hilltop Clinic, 445 Clifty Drive) in Madison, Indiana. They recently had a burglary and reported missing controlled substance prescription blanks from their facility. Some of the prescribers listed on the prescription blanks include: Jonathan B. Hanson, MD, John P. Hossler, MD, Alan P. Culbreth, MD, Phillip A Ross, MD, Mark D. Totten, MD, Larry V. Williams, MD, Vikki Conners, FNP-C, Scott H. Murphy, MD, Roy W. Miner, MD, and Steven D. Adams, MD. If you receive a suspicious written Rx, please try and get as much information as possible, save any recorded messages and notify your local police department. Also, please note any vehicle or suspect descriptions if someone arrives to pick up a prescription written by one of these medical professionals. Thank you!

Detectives can be reached regarding this or any other suspected prescription related offense at 502-574-6272 or at any of the numbers attached. Remember, in an emergency, call 9-1-1.

2012 Archive
Pharm Alert! Stolen Prescription Pads

Please be on the lookout for stolen Rx pads from the office of Dennis Campbell, MD, Lisa Caldwell, APRN, Gari Michelle Kiser,APRN. The office is located at 108 12th Street, Clay City, KY. If you receive a suspicious written Rx, please try and get as much information as possible, save any recorded messages and notify your local police department. Also, please note any vehicle or suspect descriptions if someone arrives to pick up a prescription written by one of these medical professionals.

Pharm Alert! Fraudulent Prescriptions

Currently there is an unknown person(s) phoning in prescriptions for John Richard, MD off of Whitley City, KY. The prescriptions are for hydrocodone/APAP for various strengths and quantities. Please verify any phoned in prescriptions from Dr. Richard.

Pharm Alert! Fraudulent Prescriptions

Currently there is an unknown person(s) phoning in prescriptions for Karabeth Moore, MD off of Nicholasville Rd., Lexington, KY. The prescriptions are for Lortab 10mg for various quantities. Please verify any phoned in prescriptions from Dr. Moore.

Pharm Alert! Fraudulent Prescriptions

Currently there is an unknown person(s) phoning in prescriptions for Cheryl Thomas, MD from the St. Joseph East Emergency Room. The prescriptions are for Tramadol 50mg for a quantity of 90-120. Please verify any phone in prescriptions from Dr. Thomas.

Rx Alert! Stolen Prescription Pads

Please be on the lookout for possible stolen Rx pads from the Dental office of Dr. Leslie Michele James. Her office is located at 2800 Breckenridge Lane and she is the only Dentist in the office. She suspects the pad was stolen over the last few weeks. If you receive a suspicious written Rx or call using her DEA #, please try and get as much information as possible, save any recorded messages and notify detectives at 502-574-6272. Also, please note any vehicle or suspect descriptions if someone arrives to pick up any of these prescriptions. Thank you!

Detectives can be reached regarding this or any other suspected prescription related offense at 502-574-6272 or at any of the numbers attached. Remember, in an emergency, call 9-1-1.

Pharm Alert! Fraudulent Prescriptions

Currently there is an unknown person(s) phoning in prescriptions for Dr. John Hayslip, MD from the University of Kentucky Cancer Center. The prescriptions are for Lortab 10mg for a quantity of 90. Please verify any phone in prescriptions from Dr. Hayslip.

Pharm Alert! Fraudulent Prescriptions

Currently there is an unknown person(s) phoning in prescriptions for Dr. Jason Ford from the Kentucky Center for Oral & Maxillofacial Surgery. The prescriptions are for Lortab 7.5mg for various quantities. Please verify any phone in prescriptions from Dr. Ford.

2011 Archive
Rx Alert! Fraudulent Prescriptions

Currently there is an unknown female phoning in prescriptions and identifying herself as "Dawn" or "Donna" from the Leatherman Spine Center. She is ordering prescriptions using the names & DEA #s of Dr. Rolando Puno or Dr. Steven Glassman for Lortab 10 #60 or Lorcet 10 #40 and a variety of fictitious patient names. These prescriptions are usually picked up the following day in the drive thru. If you receive a similar call, or any suspicious call, please try and get as much information as possible, save any recorded messages and notify detectives at 574-6272. Also, please note any vehicle or suspect descriptions if someone arrives to pick up any of these prescriptions.

Detectives can be reached regarding this or any other suspected prescription related offense at 574-6272 or at any of the numbers on the attachment. Remember, in an emergency, call 9-1-1.

Rx Alert! Stolen Prescription Pads

Alert 1: A pad of Prescription Blanks has been stolen from the office of Dr. Kevin O’Koon. Please verify with Dr. O’Koon before filling any prescriptions.

Please verify all Rx’s with the listed doctor(s)and contact any the Prescription Drug Diversion Unit at (502) 574-6272.

Alert 2:Rx blanks have also been removed from Suburban hospital. The following doctors’ names have been used.

  • Dr. Steven Cawood
  • Dr. Christopher Krieg
  • Dr. Steven Richards
  • Dr. Robert Pringle
  • Dr. Jillian Sterman

Please verify all RX’s with the listed doctor(s) and contact any the Prescription Drug Diversion Unit at (502) 574-6272.

Rx Alert! Stolen Prescription Pads

Alert 1: Recently the office of Doctor Richard Goldstein in Charlestown, IN was burglarized. During the burglary several controlled substance prescription blanks were stolen. These will probably be used both in Indiana and Kentucky. If you receive any of these prescriptions, please call the LMPD prescription Drug Diversion Unit at 502-574-6272.

(In Indiana you can call the Sellersburg ISP Post at 812-246-5424. If you have information regarding this burglary, please call the Sellersburg Post and ask to speak with Trooper Tracy Spencer.)

Alert 2: Be on the lookout for stolen or suspicious prescriptions from Doctor Jagdish Kothari, Dr. Renu Mehta and Dr. Mini Aggarwal. A pad of prescription blanks is missing. Please call the Prescription Drug Diversion Unit at 574-6272 if you receive one of these prescriptions.

Rx Alert! Louisville Area Pharmacies
Prescriptions for Dr. Noel, 3612 Lexington Rd, Louisville, KY 40207

Currently someone is calling in several fraudulent prescriptions using Dr. Noel's information. These are typically being called in after 4:00 pm or anytime during the weekend, when Dr. Noel is out of the office. The caller is identifying themselves as "Theresa." The prescriptions are for Lortab.

If you receive any of these phoned prescriptions, please contact the LMPD Prescription Drug Diversion Unit at (502) 574-6272. If it is an emergency, call 9-1-1

Rx Alert! ALL PHARMACIES IN THE LOUISVILLE METRO AREA

A white male with dark blonde hair and blue eyes, estimated to be in his early 30’s is the listed subject in possession of stolen Norton Leatherman Spine Institute prescription blanks. The subject is having the prescription blanks filled for Lortab 10/500 #180 and #240 at several pharmacies throughout Metro Louisville. Subject is also phoning in prescriptions claiming to be Dr. John Johnson of the Leatherman Spine Center. Again, all phoned in prescriptions are well into the #180 and #240 dosage unit range. The detective has identified seven (7) individual names being used to obtain this medication. This individual has used his ID and signature to obtain the prescriptions. He has also used Dr. Robert Couch and Dr. David Roubin.

Please notify the LMPD Prescription Drug Diversion Unit at (502) 574-6272 if you encounter this individual. Dial 9-1-1 in case of emergency.

We value your opinion on how we are meeting your needs and would appreciate you taking a few moments to answer some questions on your site experience. Click this link to take our survey!