The agency is taking its most forceful step yet to that ensure states are complying with enrollment regulations in the ...

Contraindicated drug pairs are uncommon in youth with Medicaid coverage filling combinations of behavioral and mental health (BMH) medications.

Prior authorization is a key tool for ensuring high-quality patient care, but it needs to be refined, Humana CEO Jim Rechtin ...

Federal law requires states to provide pregnancy-related Medicaid coverage through 60 days after delivery. Arkansas has not expanded what’s called postpartum Medicaid coverage, an option that gives ...

Automating and optimizing the prior authorization process with intelligent technology closes the AI adoption gap, delivers ...

Prescribing providers use this form to request pharmacy prior authorization for non-preferred phosphate binder agents. The prescriber or their staff faxes the form to the Medicaid-enrolled pharmacy, ...