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Bulletin RightCare – Scott & White Health Plan Communication #16MG12 Date: February 9, 2012 Effective Date: March 1, 2012 What you need to know RightCare from Scott & White Health Plan is the Medicaid Managed Care Program provided by Scott &White Health Plan (SWHP) which provides both medical and pharmacy benefits effective March 1, 2012. RightCare Services members living in the STAR Program Medicaid Rural Service Area (MRSA) - Central Texas Region. MRSA – Central Texas Service Area

Argus Health Systems, Inc. 1300 Washington St. Kansas City, MO 64105-1433 ©2012 by Argus Health Systems, Inc. All Rights Reserved. The computer systems, procedures, databases, software programs, documentation and other materials (collectively "Information") created, maintained or provided by Argus Health Systems, Inc. ("Argus"), are proprietary to Argus and are confidential. 16MG12

All of the information on this page constitutes a trade secret, privileged or confidential information, as such terms are interpreted under the Freedom of Information Act and applicable case law.

Tel. 816.435.5400 Fax. 816.843.6415 www.argushealth.com

RightCare from SWHP will utilize Argus Health Systems as the prescription claims processor. • •

BIN 610141 PCN 05800000

Pharmacy Networks: • •

ANA – 92 National Network ANA – 96 Specialty Network

*Note: Pharmacies must be in the Argus indicated networks and enrolled as a provider in the Texas Vendor Drug Program to be a participating pharmacy. For contracting information with the Texas Drug Vendor Program, visit http://www.txvendordrug.com/providers/contracting-info.shtml For contracting information with Argus Health Systems, contact 1-800-315-4003. Mailing Address: Argus Health Systems Attn: Pharmacy Network 1300 Washington Street Kansas City, MO 64105-1433 The following can be used to verify eligibility: RightCare Front of Card

All of the information on this page constitutes a trade secret, privileged or confidential information, as such terms are interpreted under the Freedom of Information Act and applicable case law. Argus bulletin – 2012

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RightCare Back of Card

Important Phone Numbers and Contacts Caller Pharmacy Providers

For Prescription Claim Processing

Prescribers (only)

Prior Authorizations

Members

Eligibility

Vendor Contact Argus Health Systems Pharmacy Help Desk Scott & White Prescription Services Valence Health

Phone Number 1-866-934-7573 1-888-837-0201 1-855-TX-RIGHT (855-897-4448)

Additional Resources •

For additional pharmacy provider information and updates about RightCare from SWHP / SWPS, visit http://rightcare.swhp.org/homepage/rightcare



For additional information about the Texas Drug Vendor program, visit http://www.txvendordrug.com/

Payer Sheets To view the payer sheets on www.argushealth.com: • Click MyArgus link in the upper right-hand corner of the website. • Enter the User ID and the password. • Select Pharmacy • Under D.0 Payer Sheets select the SW Texas Medicaid payer sheet under the D.0 Commercial/Generic drop-down box.

All of the information on this page constitutes a trade secret, privileged or confidential information, as such terms are interpreted under the Freedom of Information Act and applicable case law. Argus bulletin – 2012

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