March 2010

 

DMA established a Preferred Drug List (PDL) on March 15, 2010 to obtian better prices for covered outpatient drugs through supplemental rebates. Initially, there will be NO changes in the drugs that are currently covered.  In the future, selected therapeutic drug classes will be reviewed and specific drugs defined as "preferred." Generally, these drugs will not require Prior Authorization(PA) unless there are other clinical PA requirements such as step therapy or quantity limits.

"Non-preferred" drugs will be available if prior authorization criteria are met.  The PA process will be the same as it is today.  The prescriber will be responsible for initiating a PA request.  For therapeutic drug classes that do not appear on the PDL, nothing has changed.

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CAROLINA COLLABORATIVE COMMUNITY CARE offers case management and disease management services to improve health outcomes and reduce Medicaid care cost.  We serve Carolina Access Medicaid patients and their medical providers located in Cumberland County.

 

To receive Carolina Collaborative Community Care’s services, clients must be a Carolina Access Medicaid enrollee.

 

To become a Carolina ACCESS member, please contact a caseworker at the Department of Social Services.  Enrollees who are dually-eligible, using both Medicare and Medicaid, are also eligible to participate..

 

Program Initiatives:
4C is participating in several statewide programs focused on improving health care outcomes for the Carolina Access/Health Choice enrollees:

  Asthma
  Diabetes
  Heart Failure
  High Risk/High Cost Management
  Pharmacy Management
  Emergency Department Utilization
  Chronic Care Management - New Pilot


Click here for more Program Overview
 
 

Carolina Collaborative Community Care (4C)

Phone: (910) 485-1250 Fax: (910) 485-7238

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