...easy access to formulary information. You can also determine drug coverage status on the MMIT Formulary, another application that can be downloaded onto your mobile device. Discover if a medication...

...finding an in-network provider or pharmacy. * Your coverage includes a preventive drug benefit. This means that preventive drugs (medications to help prevent chronic conditions and illnesses) are covered outside...

...ECHO Health Enrollment Submit this form to enroll with ECHO Health, our electronic funds transfer partner. Itemized Bill Cover Sheet Submit this cover sheet and itemized statement for high dollar...

...of our health plan and the Ohio Department of Medicaid (ODM) as outlined in this manual. Providing 30 days of emergency coverage to any CareSource patient dismissed from the practice....

...is not required for coverage of post-stabilization services when these services are provided in any emergency department or for services in an observation setting by a participating provider. To request...

...Coverage managed care plan. This is allowed: During the first 90 days after you sign up or are sent notice of signing up Every 12 months from your date of...

...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...

...services. CareSource North Carolina Co® does not provide coverage for routine dental services for plan members. Members looking for dental coverage should work with their agent or broker or review...

...and generics. Sometimes, we only cover the brand. Other times, we cover the generic. Your pharmacy will give you the drug that’s covered. Some drugs need approval before we’ll cover...

...after December 15 to enroll, the coverage you select will not become effective until February 1. If you are auto-enrolled, you will have your current or pre-selected coverage for the...