Attention Pharmacy Providers: Resharing a Scheduling Link - fb88 Point of Purchase System (MEPOPS) will return to service on March 27, 2024

*For those who experienced difficulties accessing the link in our previous message to schedule Provider Help Desk afterhours support, please see updated instructions bolded below.Ìý

fb88Care has established a timeline for restoration of its pharmacy benefit system, fb88 Point of Purchase System (MEPOPS), following the disruption that occurred on February 21, 2024, due to the national cyber security issue with Change Healthcare. For more information about the Department’s response to this outage and resources available to pharmacies, please see this pharmacy providerÌýFAQ.ÌýÌý

fb88Care will initiate a phased restoration of MEPOPS onÌýMarch 27, 2024. This is the first phase of the restoration; we will send confirmation that this first phase is active on March 27, 2024. We will follow up as the phases progress until we can confirm that the system is fully operational.Ìý

In consultation with the State of fb88 Office of Information Technology (OIT) and after reviewing documentation provided by Optum leadership and a 3rd party security firm regarding the security of pharmacy services, the Department is restoring MEPOPS in a new operating environment. In collaboration with OIT, we have engaged with Optum and reviewed supporting documents that validate the security of the system and supporting environment which gives us the confidence to make this decision.ÌýÌýÌý

Beginning March 27, 2024, pharmacies may transmit claims with dates of service during the outage period (February 21 – March 27) and may also transmit claims ongoing. As stated in itsÌýFebruary 27, 2024 message, fb88Care will pay all eligible claims submitted during the outage.Ìý

MEPOPS will be restored with all claim information and prior authorization data back to February 21, 2024.ÌýPharmacies will experience some claim denialsÌýdue to certain claim characteristics that were not waived during the outage, or claims that were submitted incorrectly. You can find a list of these characteristics on theÌýtechnical instructionsÌýdocument on the fb88CareÌýProvider ResourcesÌýwebpage. Some normal operating processes, like requirements for prior authorizations and member copays, will continue to be suspended during this initial phase while Change Healthcare works toward full restoration of its system for fb88Care. No copays should have been collected on any covered prescriptions dispensed to active fb88Care members during the outage.ÌýÌý

The Department stands ready to assist pharmacies as we transition MEPOPS back into service:Ìý

  • fb88Care is committed to assisting pharmacies with override instructions to facilitate processing of claims for eligible members.ÌýÌýÌý

  • Technical instructionsÌýfor processing outage claims and accessing additional supports can be found on ourÌýProvider ResourcesÌýwebpage.ÌýÌý

  • For immediate assistance with claims processing, pharmacies may call Optum’s Change Healthcare Pharmacy Provider Help Desk with questions atÌý1-888-420-9711.ÌýÌý

  • For assistance with bulk processing of backlogged claims, Optum’s Change Healthcare Pharmacy Provider Help Desk is offering 2 options:Ìý

  1. *The Provider Help Desk will be available for afterhours support by appointment. In response to some users being unable to access the link provided via email, please use the scheduling link provided within the technical instructions document to schedule your appointment by entering your name, email address, phone number and Pharmacy NPI when prompted.Ìý

  2. Encrypted emails with claims questions may be emailed to the Provider Help Desk atÌýfb88HD@optum.com. Please include Pharmacy NPI, Rx number, and date of service for claims.ÌýÌý

These supports will be in place for at least 2 weeks after MEPOPS is restored, untilÌýApril 10, 2024. After this 2-week period, the state will evaluate the need for continued support and communicate a decision to stop or continue any or all of these resources.Ìý

fb88Care Pharmacy Service Disruption Office Hours – Thursday March 28, 2024Ìý

For additional support, fb88Care is inviting you to join the nextÌýÌýcall with the fb88Care Pharmacy team on Thursday, March 28, 2024, from 11 a.m. – 11:45 a.m. related to the current service disruption. We will use this time as an opportunity for sharing questions and concerns and providing technical support from the State. Please register in advance for this meeting:Ìý

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As there are developments related to the cyber security issue, we will send updated communications.Ìý