...of multiple claims that involve the same or similar payment or coverage issues, regardless of the number of individual members or payment claims included in the bundled complaint or appeal....

...providers using guidelines from the Indiana Office of Medicaid Policy and Planning (OMPP) and the National Committee for Quality Assurance (NCQA).CareSource credentials providers using guidelines from the Indiana Health Coverage...

...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 Policy Manual,...

...your Evidence of Coverage (EOC) for more information about how drugs are included or not included on your Formulary. We want to make sure our members get the safest, most...

...prescription refills for existing specialty mail order medications as well as check coverage information. You can still get your non-specialty medications through your local pharmacy. Do you have general questions...

...711). We can help you find a provider, schedule an early visit, connect you to community resources, and more. Your Coverage Pregnancy is a personal experience. We want you to...

...Renew Your Benefits Renew Your Benefits Don’t lose your Medicaid coverage. Learn how to keep your plan coverage. Learn More Find A Doctor Find A Doctor Need a doctor, urgent...

...in your Evidence of Coverage. You can also visit the National Hospice and Palliative Care Organization’s website CaringInfo.org or call 1-800-282-6556. Guardianship A guardian is someone chosen by a court...

...receive BOTH Medicare and Medicaid benefits. Our CareSource® MyCare Ohio (HMO D-SNP) plan combines your Medicare and Medicaid into one simple plan, giving you coverage that fits your needs and...

...for turning down coverage or services. We do not offer financial incentives to our staff to urge them to make decisions that result in under-utilization. New Technology HAP CareSource MI...