...or quality improvement project and presentation at a national conference Formulary management, including policy writing and creating coverage criteria Clinical innovation program monitoring and creation Prior authorization review Teaching certificate...

...My Benefits CareSource members get more with their benefits. Learn more about what’s covered. Member Handbook Evidence of Coverage and Schedule of Benefits Where to Get Care Substance Use Disorder...

...in order to manage prescription refills for existing mail order medications and check coverage information. CareSource uses Express Scripts (ESI) as its Pharmacy Benefits Manager (PBM) to supply medications your...

...you have questions about your rights or need help, please refer to your Evidence of Coverage or call Member Services. These services include quality and standards of care, benefits, or...

...your plan coverage. Evidence of Coverage (EOC) The EOC is an important legal document that describes the relationship between CareSource and members of CareSource Advantage® Zero Premium (HMO) and CareSource...

...buy an optional adult Dental, Vision and Fitness plans. These plans offer dental and vision coverage for all adults on your plan, plus give you an added a fitness benefit....

...coverage. Go to www.express-scripts.com/mppp and choose the opt-out option. You can also call 1-866-845-1803. After you leave the program, you will get an invoice each month for the amount you...

...of your plan. Coverage Determination Request Form If you think you should get payment or benefits on a certain drug, you can request a coverage determination. Fill out this form:...

...coverage information. You can still get your non-specialty medications through your local pharmacy. Do you have general questions about specialty pharmacy? Call Member Services. Your CareSource plan includes pharmacy benefits....

...information on any appropriate or medically necessary treatment options and alternatives for your condition, regardless of cost or benefit coverage, in a manner appropriate to your condition and ability to...