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.