Pharmacy Benefits Management System (PBMS) Transition to Magellan

Important Notice

On February 25, 2017 Magellan Rx Management assumed administrative operation of the Pharmacy Benefit Management System (PBMS) on behalf of Health First Colorado (Colorado’s Medicaid Program).

Read more here in this Important Notice to Pharmacy Providers.

Download! Payer Sheet for Transition

Review! New Pharmacy Billing Manual

Important Training Available Soon for Pharmacy Providers

The Introduction to Magellan Rx Management course will be offered to the pharmacy provider community. The course will include a review of claim submission differences and prior authorizations and will provide contact information for assistance with claims and prior authorizations.

To register to attend one of the Webinars listed below, please e-mail the Magellan Rx Management Training and Development department at MMATraining@MagellanHealth.com and include the following information in your e-mail:

  • Name
  • Facility name
  • NPI
  • Phone #
  • E-mail
  • Date and time of Webinar

The training schedule is as follows:

  • Thursday, February 2 2:00 p.m. MT
  • Tuesday, February 14 9:00 a.m. MT
  • Thursday, February 16 1:00 p.m. MT
  • Wednesday, February 22 11:00 a.m. MT

Training Presentation

If you are unable to attend one of the scheduled Web-based training sessions, a hyperlink will be provided for you to access a recording of the training session at a more convenient time.

For Pharmacy Providers Providing DME or Supplies:

Hewlett Packard Enterprise (HPE), now DXC Technology, is hosting Web-based instructor-led training sessions for the new Provider Web Portal. These sessions began January 17, 2017.

See Colorado.gov/HCPF/Provider-Resources for full schedule and registration instructions (coming soon).