This information is being disseminated by Frank Harsanyi, a member of the NJREA Health Committee:
There is an issue with Arriva. Arriva has been the vendor for Diabetes supplies. Many of our members on Medicare received a letter stating Arriva would no longer be paid by Medicare/Medicaid. Here is the explanation sent to NJREA.
On Nov. 7, Arriva Medical LLC, an Express Scripts vendor responsible for dispensing diabetic supplies for SHBP/SEHBP Medicare Part B eligible members, advised Express Scripts that the Centers for Medicare and Medicaid Services (CMS) issued a Provider Transaction Access Number (PTAN) Revocation effective Nov. 4. This means that Arriva is currently not eligible to submit Medicare Part B claims for payment toward diabetic supply orders they fulfill. Arriva is working through the appeals process, but it may be several weeks or longer before it is resolved.
Effective immediately, Express Scripts will not forward new orders for Medicare Part B eligible diabetic supplies to Arriva. In order to ensure continued care for members and help minimize costs for Medicare Part B eligible supplies, new diabetic supply orders received at the Express Scripts Pharmacy will be returned to the member with instructions to use a licensed Medicare Part B retail pharmacy in their network.
Members who are already using Arriva’s services may not be billed until Arriva is able to first submit a claim to Medicare and then Express Scripts. Members will only be responsible for the amount not paid by Medicare or their prescription drug plan. At any time, members may choose to use a Medicare Part B licensed retail pharmacy in their plan’s network.
For both of these situations, Express Scripts patient care advocates are prepared to explain these events and provide information to guide the members to participating Medicare Part B retail pharmacies if needed.
*** Please note that Arriva is still dispensing diabetic supplies for those members that have current prescriptions on file. They will bill Medicare once they are allowed to. If CMS does not reverse the decision, members will not be billed.