COVID-19 HDAP Pharmacy Memo

MEMORANDUM

 

TO:                 Pharmacist/Provider

 

FROM:          Stephen Duszlak

                        Accounting Manager

 

Evelyn Colon-Serrano

HDAP Senior Reimbursement Coordinator

Massachusetts HIV Drug Assistance Program

                        Community Research Initiative of New England

 

DATE:            March 31, 2020 

 

RE:                 COVID-19 and MASSACHUSETTS HIV DRUG ASSISTANCE PROGRAM (HDAP) REIMBURSEMENT

 

Please distribute to your pharmacy network or partners as appropriate.

 

In response to Massachusetts Governor Baker’s declaration of a State of Emergency to Respond to COVID-19 ( https://www.mass.gov/executive-orders/no-591-declaration-of-a-state-of-emergency-to-respond-to-covid-19) and to ensure that HDAP clients do not experience a gap in coverage or treatment access during this public health emergency, the following temporary changes to our standard pharmacy reimbursement policies are effective immediately:

 

  • HDAP will reimburse pharmacies for prescription charges submitted for “early” fills (prescriptions filled before the usual refill approval date), as allowed by the client’s insurer. 

 

  • HDAP will reimburse pharmacies for prescription charges submitted for 60- or 90-day fills, as allowed by the client’s insurer.   

 

  • Please note that this applies only to insured clients, with prescription co-pays; it does not apply to full-pay (uninsured) clients. 

 

Communicating with CRI

 

  • For questions about billing, please contact our Accounting department at Billing@crine.org.

 

  • If pharmacies encounter any issues processing a prescription(s) for individuals enrolled in HDAP (due to insurance changes, etc.) or for urgent client cases or clients with specific prescription needs, please contact HDAP at 617-502-1700 so that we may assist. 

 

 

We appreciate your ongoing efforts and dedication to our clients to ensure their continued access to essential medications, as well as your flexibility and patience during this challenging time.