...record. We will cover the cost of expungement up to $500 if you are eligible. You must: Not have pending charges in any state Pay all fines, fees, court costs...

...considered covered services. However, services will be covered when you receive them from an out-of-network provider connected to an in-network hospital (for example, an anesthesiologist’s services performed during a covered...

...locations where they practice. Covered services are based on the terms and conditions described in your Certificate of Coverage. This includes medical necessity. Please call us at 1-877-514-2442 (TTY: 711)...

...Experimental or Investigational Item or Service Experimental, Investigational and Other Non-Covered Services F Fraud, Waste and Abuse Recovery Process I Intellectual or Developmental Disabilities (IDD) Documentation Intellectual or Developmental Disabilities...

...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...

...We strive to limit the administrative burden while advocating for member access to quality behavioral health care. Behavioral health services are covered by HAP CareSource™ and Prepaid Inpatient Health Plans...

...is available here. Notification Date Posted Summary of Drug Coverage Changes Effective October 1, 2024 08/13/2024 Summary of Drug Coverage Changes Effective July 1, 2024 06/01/2024 Unified PDL Changes Effective...

...CPT Codes Not Covered in an Emergency Room Setting D Dental Procedures in a Hospital, Outpatient Facility or Ambulatory Surgery Center Dental Procedures in Hospital Outpatient Facility or Ambulatory Surgery...

EPSDT covers care for those under the age of 21 at no cost to you. EPSDT stands for: Early – So problems are treated soon Periodic – To set up...