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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...Pharmacy Prior Authorizations. What is a Preferred Drug List? HIP Plus & State Plan Plus ( English | Spanish) HIP Basic, HIP State Plan Basic & Hoosier Healthwise Packages A...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/Quick References COVID-19 information Pharmacy information, including our Preferred Drug Lists (PDLs) Medical, pharmacy, reimbursement and administrative policies We Strive to make partnering with us simple. We’re aware things may...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...for claims, prior authorizations, and other administrative tasks for providers. Submitting Claims and Authorizations ODM is implementing a One Front Door approach to streamline claim and prior authorization submissions. Providers...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...
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COVID-19 Information and Resources
https://www.caresource.com/members/tools-resources/covid19/...Medical equipment Having medical supplies like breathing equipment and others, delivered to your home. Quantity limits and prior authorizations are waived. This includes: medical supplies such as diabetic supplies, incontinence...
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Referrals & Prior Authorization
https://www.caresource.com/plans/tricare-prime-demo/referrals-prior-authorization/...non-network specialist, your PCM or you can request a pre-authorization from CSMV. Prior Authorization (Pre-Authorizations) Some services need to be approved by us before you can get them. Pre-authorization is...
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COVID-19 Updates
https://www.caresource.com/providers/tools-resources/updates-announcements/covid-19-updates/...Expired COVID-19: Prior Authorization Changes – UPDATE 06/30/2020 Active COVID-19: Prior Authorizations 04/28/2020 Active COVID-19: Provider Stimulus Package Program Tool 04/28/2020 Active COVID-19: Home Care Services Coordination 04/24/2020 Active COVID-19:...
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Mail Order Drugs
https://www.caresource.com/members/tools-resources/find-my-prescriptions/mail-order-drugs/Get Your Prescriptions Delivered to Your Door! You can get many of your Medicare Part D drugs sent to your home through mail. We work with Express Scripts® to offer...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/CareSource PASSE™ follows Arkansas Medicaid’s evidence-based Prescription Drug Program, Preferred Drug List (PDL) and Prior Authorization Criteria. Search Tips: To access the downloadable Preferred Drug List and Prior Authorization Criteria...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...Phone: 1-844-607-2831 (Phone requests are not for routine prior authorization requests.) Medical benefit pharmacy prior authorizations must include: The applicable Pharmacy Prior Authorization Form The drug name, strength, Healthcare Common...
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AUTHORIZATIONS