...inform and guide the provision of clinical care to beneficiaries. CPGs do not create new benefits or coverage rules and shall not supersede or replace the requirements of the TRICARE...

We maintain medical, payment and administrative policies for our health partners. These policies are regularly reviewed, updated, withdrawn or added; and therefore, subject to change. Please check often for updates...

...contracts with Medicare to provide all Part A and B benefits. Medicare Advantage Plans include Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), Private Fee-for-Service Plans, Special Needs Plans, and...

CareSource is required to prevent, identify, investigate, correct and report (FWA). As a CareSource FDR, you share these same responsibilities and requirements. In order for you to be able to...

The frequently asked questions below are intended to help First Tier, Downstream and Related Entities (FDR) understand and manage their compliance efforts. Please click on the expandable menus below to...

...including: Contracting and credentialing Claims processing and payment Referrals and triage Care management Contact Beacon at 1-877-380-9729 to: Verify available behavioral health and substance abuse benefits Seek an appointment Seek...

...your location, needs and circumstances. Use this tool to manage your Medicaid and food assistance benefits anytime. You can also apply for other assistance programs through the portal. To check...

...like: Helping get your medications and supplies. Explaining insurance benefits and services. Providing education on chronic illnesses. Connecting to community resources. Helping you coordinate transportation. Finding after-hours support if you...

...check with your primary care provider (PCP) or Care Manager to see what services you may need. Additional Information Rewards will be added to your Healthy Benefits+ card. You get...

...enabled device? Would you like to learn more about your CareSource health plan, benefits or prescription refills without having to call or go online? If so, we invite you to...