...prior authorization from NIA for imaging procedures at RadMD’s website. Pharmacy Prior Authorization Some drugs may require prior authorization before they will be covered. Please refer to the Pharmacy page...

...Abuse page. Fraud Waste and Abuse Reporting Form – Use this form if you think a health partner or a CareSource member is committing fraud, waste or abuse. To find...

...qualify for an exception because of your unique medical needs, you or your physician should contact us and ask for a coverage determination. Please note: If your pharmacy tells you...

...4). To locate this document and more, visit our Plan Documents page. How to Request an Organization Determination To request a decision, you have the following options: Member Services: 1-844-607-2827...

...primary care provider (PCP), specialist, pharmacy, clinic and more with Find A Doctor/Provider. Make an appointment with your primary care provider (PCP). Not sick? That’s ok! Wellness checks are FREE...