Medicaid Fee-for-Service Solutions

With over 40 years of experience providing Pharmacy Benefit Management services to state healthcare programs, our core competency lies in serving special and targeted populations. Magellan Medicaid Administration, Inc. (MMA), a Magellan Rx Management company, has expertise in caring for the pharmaceutical needs of these populations while complying with the rigid regulations and oversight that accompany them.

Government DNA

MMA is driven by a philosophy of commitment to quality healthcare for underserved and vulnerable populations. Our highly flexible systems can expedite change so that states may continue to focus on what matters.

  • Advanced products grounded in best practices
  • Superior operational administration
  • Industry-leading technology help states manage their pharmacy program and cost-effectively promote access, while providing clinically appropriate care.

Our Programs

We support the goal of states to lower overall program costs to taxpayers, while preserving a robust drug benefit for recipients. Our cutting-edge pharmacy solutions are tailored and proven in multiple state government healthcare programs. They are fully integrated for optimal efficiency, MITA-aligned, and customized for our customers.

We are recognized as national experts in Medicaid pharmacy program development and cost containment strategies. We currently provide analysis, guidance and services to Medicaid agencies across the country. Our proven pharmacy solutions are tailored to the unique needs of each state, and can provide full pharmacy benefit management services or individual programs, such as:

  • Pharmacy Claims Processing and ProDUR
  • Automated Prior Authorization
  • Call Center Support
  • RetroDUR Services
  • Analytics and Reporting
  • Drug Rebate Administration
  • Formulary and Specialty Management, including PDL

We have created long-term, productive collaborative relationships with our customers. We provide innovative state government-centric technology, high-touch account management, accountability and transparency, and an overall commitment to excellence.