Reimbursement Policies
These reimbursement policies apply to CareSource® Dual Advantage™ (HMO SNP) plans.
Reimbursement policies are designed to assist you when submitting claims to CareSource. They are routinely updated to promote accurate coding and policy clarification. These proprietary policies are not a guarantee of payment. Payments for claims may be subject to limitations and/or qualifications. Payment will be determined based upon a review of the actual services provided to a member and will be determined when the claim is received for processing. Providers and their office staff are encouraged to use self-service channels to verify member eligibility.
Current Reimbursement Policies
Archived Reimbursement Policies
340B
Access complete 340B Managed Care Entity (MCE) participation information on the Indiana Provider Portal. Once logged in, locate the 340B policy link.
All covered entities participating in managed care Indiana Health Coverage Programs (IHCPs) are strongly encouraged to complete the state’s requested paperwork.