...services. Behavioral Health Care Coordination Services This no-cost service pairs you with a Care Manager. Our Care Managers are nurses, social workers or counselors. You and your Care Manager will...

...the responsible Managed Care Organization (MCO) for processing and payment. Prior Authorization Requests: OMES will serve as the centralized location for prior authorization requests for all medical (non-pharmacy) services, standardizing...

...will only reimburse claims for Medicaid services. Claims for Medicare must be submitted to the plan managing the member’s Medicare benefits. Therefore, we recommend that you check member eligibility each...

...by CareSource’s Program Integrity. Examples are listed below. Providers who: Order drugs, equipment or services that are not medically necessary Don’t give medically necessary services due to lower reimbursement rates...

EXPLORE YOUR BENEFITS You don’t need to do anything to access these benefits. As a CareSource Dual Advantage member, you’re already enrolled, and your 2025 benefits are ready for you....

...Coordination of Healthcare Exchange of Information Form when billing for behavioral health services to receive reimbursement for coordination of care. Coordination of Healthcare Exchange of Information FAQ Member Benefits As...

...Services to find resources that provide services near you. Examples include Support Services for the elderly: In-home care Meals on wheels Home repair programs Find a Doctor/Provider Use this online...

...Services Providers may not bill members for any covered services, with the exception of copayments. Non-Covered Services A provider may, upon accepting a patient as a Georgia Families® member, charge...

...list of benefits. See your member handbook or call Member Services for details. Benefits may change on January 1 of each year. If You Need Counseling We want you to...

...extra services to help you stay healthy. Explore Your Benefits Healthy Benefits+ Allowance Pharmacy, Dental, Vision & Hearing Benefits Additional Benefits & Services To learn more about your benefits call...