Hurricane Florence Preparations for SHBP Members Residing in Impacted Areas

In light of the impact from Hurricane Florence, SHBP is taking the following actions for members in the areas impacted. 

Pre-Certification:

  • No acute inpatient, LTAC or SNF concurrent reviews will be denied for lack of information in the impacted area(s) 
  • No urgent/emergent admission will be denied for lack of information.
    • Members will be covered through Monday.
    • The need for additional clinical updates will be reassessed on Tuesday.
  • Discharge planning will be managed on a case by case basis to ensure we are not discharging members to an area deemed to be unsafe or at risk.

Case Management:

  • Case managers will continue to focus on outbound calls and address all inbound questions/needs.
    • Vendors will assess member safety, including availability of medications and ensuring they are in air tight containers and in zip lock baggies, as well as the securing important papers/ID/insurance cards.
    • Vendors will discuss emergency plans for members/dependents who have special needs and assist with resources, as applicable.
    • Vendors are reviewing a report of members who reside in the impacted areas to ensure they can conduct timely outreach.

Nurseline:

  • Nurseline services will be available 24/7 for members who need access to nurse advice after business hours.
  • UHC:  888-364-6352
  • BCBS:  866-787-6361
  • CVS:  844-345-3241

Telehealth Options:

  • Members in the affected areas are encouraged contact their telemedicine providers if possible.

Pharmacy

  • For all members residing in the affected areas, “refill too soon” restrictions are lifted to ensure members have access to their medication.  Members will be allowed a 30-day supply.  This will be reassessed as needed.
  • Specialty medication deliveries are being monitored to ensure that members either receive their medications early or are allowed to get them locally without penalty.
  • For specialty and mail order medications, CVS Caremark is reaching out via text and email to members in the affected zip codes to all those taking specialty medications.