-
Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/Before providing care or prescribing medicine for your patients, please review the CareSource® MyCare Ohio (HMO D-SNP) Medicare Part D formulary and Medicaid List of Covered Drugs. Formulary Use the...
-
General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...(3) consecutive months following your missed premium payment. During this time, we shall: Continue to pay for covered services during the first month of the grace period. Hold processing covered...
-
COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...federal and state guidance. We will keep you informed of any changes that could affect your health care coverage. COVID-19 Public Health Emergency Guidance COVID-19 Public Health Emergency Guidance Health...
-
Archived Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/archived/...Medical Necessity Determinations Medical Necessity Determinations Medical Necessity Determinations Medical Necessity Determinations Medical Necessity Determinations Medical Necessity Determinations Medical Necessity for Medical Benefit Medications Medical Necessity for Non-Formulary / Non-Preferred...
-
Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...2006-(Present) National Library of Medicine Maternal Mortality Reproductive Health, Maternal Mortality Centers for Disease Control and Prevention MedlinePlus® U.S. National Library of Medicine site U.S. National Library of Medicine MedlinePlus...
-
FAQs
https://www.caresource.com/members/education/faqs/...What you and your PCT need: Your diagnosis. Your social, medical, physical and mental health history. Your medications. List of services you get and who provides them. What your PCT...
-
Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...appeal to deny, limit, reduce, suspend, or terminate a covered service for lack of medical necessity may request an External Medical Review with Permedion. Services denied, limited, reduced, suspended, or...
-
Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...to our Ohio Medicaid plan. These medical policies apply to our Georgia Medicaid plans. These medical policies apply to our Indiana Medicaid plans. These medical polices apply to our Ohio...
-
Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...the Center for Medicare & Medicaid Services (CMS)-issued Children’s Health Insurance Program Reauthorization Act (CHIPRA) Core Set and the Adult Core Set of Quality Measures technical specifications along with the...
-
Medicaid
https://www.caresource.com/plans/medicaid/...now! Members who want to change their plan can review choices available and select the plan that best fits your healthcare needs. And though Medicaid plans cover medical, vision, dental,...
Found 214 results for
Cover med