UPDATED: Gainwell System Transition Status

Published on

Originally published March 27

Gainwell Technologies is the pharmacy benefits administrator for the Texas Vendor Drug Program. The below system information will assist pharmacies, manufacturers, and prescribers.

All times are central time zone.

Status Update

  • Sunday, March 31:
    • As of 12:00 a.m. the systems and portals are active
  • Saturday, March 30:
    • As of 6:00 p.m.. system and portal start time is scheduled for later this evening
    • As of 12:05 p.m., systems and portals will not be active until later this afternoon.
    • As of 9:40 a.m.. the systems and portals will not be active until 12:30 p.m.
    • As of 8:40 a.m.. the systems and portals will not be active until 10 a.m.
    • As of 5:50 a.m.:
      • The Gainwell point-of-sale claims system, the VDP Provider Portal, and the VDP ECOI Portal will not be active until 9 a.m.  Due to this delay, Gainwell cannot process fee-for-service pharmacy claims until 9 a.m. We apologize for the delay and appreciate your patience. The call centers will still open at 8 a.m.

Claims System

  • Began processing claims at 12:00 a.m. on Sunday, March 31.
Field NumberField NameMedicaid, CSHCNKHC
101-A1Bank Identification Number (BIN)025417025417
104-A4Processor Control NumberDRTXPRODDRTXPRODKH
301-C1Group ID

MEDICAID

CSHCN

KHC

VDP Provider Portal

Electronic Certificate of Information (ECOI) Portal

Prior Authorization

  • Texas Pharmacy Prior Authorization Call Center:
    • Began accepting prior authorization requests by phone on Sunday, March 31:
      • 877-PA-TEXAS (877-728-3927)
    • Began accept faxes beginning at 8:00 a.m. on Saturday, March 30:
      • 866-469-8590

Rebate Inquiries

  • Begins accepting inquiries, Reconciliation of State Invoice (ROSI) and Prior Quarter Adjustment Statement (PQRS) documentation, and claims-level detail requests on Monday, April 1,

Refer to the System Transition Resources for more information about this change. You can also register with the HHSC email notification service to review emails from VDP about the change.