...– For certain drugs, your 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...

...insurance easier to understand and use. More benefits for YOU! Combined Medicare and Medicaid plan with extra benefits and coordination for simplified planning. Medicaid-only plan providing standard coverage with no...

Get Moving and Stay Fit Being pregnant is a great reason to get serious about exercise. It can help you feel better, gives you more energy, and reduces aches and...

...serve you. You can join these quarterly meetings online. If you would like to join EAC meeting, Let us know! Contact Member Services at 1-833-230-2053 (TTY: 711) or fill out...

...our providers with the tools and resources they need to deliver the best care to our members. Use the Quick Reference Guide for key contact information, processes and procedures at...

...Codes Thyroid Testing Transcutaneous Electrical Nerve Stimulation (TENS) Transcutaneous Electrical Nerve Stimulators Transcutaneous Electrical Nerve Stimulators (“TENS”) Transcutaneous Electrical Nerve Stimulators (TENS) Transcutaneous Electrical Nerve Stimulators (TENS) Trigger Point Injections...

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...

...Yes Yes Yes Mental Health and Substance Use Services HIP Plus HIP Basic Copays may apply HIP Maternity HIP State Plus HIP State Basic Copays may apply Prior Authorization Needed?...

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...the New Health Partner Contract Form. If you have any questions about your application, please contact us at NCcontracting@caresource.com. Your Application Status Once you submit your application, you will receive...