...plans and members. PNM & Centralized Credentialing– Find detailed information about the implementation of PNM and centralized credentialing. Stage 3a Implemented: On Feb. 1, 2023 ODM implemented the Next Generation...

...prior authorization by contacting the CareSource Utilization Management Department via: Provider Portal Mail Phone When submitting an authorization request, please provide the following information: Member/patient name and 11-digit CareSource member...

...of the quarter to apply to that quarter. Questions? Contact United Medco Member Services at 1-866-257-3905 (TTY: 711). Additional information such as policies, benefit guidelines and frequently asked questions can...

...doctor will need to contact us before you can fill your prescription. 2025 Prior Authorization Criteria Last updated on 12/01/2025 Step Therapy Criteria – For certain drugs, we require you...

...within 90 days of becoming a member. If you would like more information about the program, please contact our Member Services department at the number below. We can help you...

...se violan sus derechos Puede presentar un reclamo si siente que violamos sus derechos cuando nos contactó. Use la información adicional al final de este aviso. Puede presentar un reclamo...

...*Earn rewards by getting this preventive care! Learn more about our reward programs. Get more information about free Healthchek services. How to Get Healthchek Services Call your provider to schedule...

...list of these services, refer to your member handbook. If you have questions, contact Member Services at the number below. Services Not Covered CareSource will not pay for the following...

...more information on providing best available evidence, please contact our Member Services team at 1-833-230-2020 (TTY: 1-833-711-4711 or 711). We are open 8 a.m. to 8 p.m. Monday through Friday,...

...more information about becoming a participating provider, please complete the New Health Partner Contract Form. If you have any questions about your application, please contact us at Kansas_Network@CareSource.com. Your Application...