Enrollment - Medicaid Eligibility

HMS provides Pharmacy Audit Services for a number of providers throughout the United States. Periodically, we send requests to pharmacy providers for information regarding prescriptions that they have filled on behalf of our clients.

In an effort to address the most commonly-asked questions that these requests raise regarding our audit processes, the information we have requested, or how to respond to an audit question, we offer additional information and guidance via this website.

Indiana Providers
pdf FAQ
pdf Additional Information on Audit Findings
pdf Required Pharmacy Documentation
pdf Date Written on Prescriptions

 

 

Did you know ... ?

We provide only verified policies to our clients. We supplement 270/271s with other verification processes, including through the Web and live person-to-person telephone contact. We perform over 350,000 voice verifications a month.