Medicaid Fee-for-Service Program
The ArrayRx™ Medicaid Fee-for-Service (FFS) Program was developed using the Centers for Medicare & Medicaid Services’ (CMS) modernization and modularity principles, with input from state Medicaid pharmacy program directors. Our goal is to bring interstate collaboration, best practice sharing, streamlined procurement, and multi-state vendor oversight to state Medicaid FFS insurance programs across the country. Our FFS Program features comprehensive administrative and technology services with an à la carte offering structure that allows states to choose elements of the program best suited to meet their needs at any time.
The core suite of the ArrayRx™ Medicaid FFS Pharmacy Program insurance services and platforms include:
- Medicaid FFS insurance information and solutions
- Claims adjudication and Encounter administration
- Medicaid Drug Rebate Administration, including federal and supplemental rebate programs
- Preferred Drug List (PDL) management and Pharmacy & Therapeutics (P&T) and Drug Utilization Review (DUR) board consultations
- Utilization Management (e.g., Prior Authorization)
- DUR Services (prospective and retrospective)
- Reporting and analytics
- Fraud, Waste, and Abuse management
Our FFS Program offering sets us apart from legacy vendors. Aspects differentiating our program include:
- Claims platform with enhanced levels of on demand customization and set-up testing
- Supplemental rebate platform that includes automated and easy to use rebate modeling to support year-round contracting
- Federal rebate platform that includes a modern user interface and enhanced manufacturer portal
- Custom P&T and DUR board support including clinical strategy/policy development
- Comprehensive self-service reporting suite for custom report creation and program specific dashboard development
See another one of our solutions, Pharmacy Benefits Management Program.