f Clinical Practice Guidelines CareSource approves and adopts evidence-based nationally accepted standards and clinical practice guidelines to help inform and guide the provision of clinical care to members. CPGs are...

...health coverage, access to physicians and quality care with compassion. The joint venture enables HAP CareSource to provide more Michiganders access to award-winning products, services and an expanded provider network...

...Provider Types To qualify as a PCP, a provider must practice in one of the following primary care areas: General practice Family practice Internal medicine Pediatrics Obstetrics/gynecology A specialist may...

...every month? CareSource PASSE care coordinators are here to help you and your family. Your health and wellness is our top priority. We will work with you, your family, caregivers...

...or computer. Meet with a doctor anywhere, anytime. It is easy for you and your family to get the care you need. In addition, your telehealth services include general medical...

...right for them, patient-friendly materials were created based on the Physician Association lists of recommendations of appropriate tests and treatments. Choosing Wisely Helpful materials on healthcare for children from the...

...Family Intervention (IFI) A service provided for a child or teen that supports the entire family and provides a team of professionals in the family’s home or community. Intensive Home-Based...

...of providers: Family practice providers: Providers who care for children and adults of all ages and may include obstetrics and minor surgery. Nurse practitioners (NP) and physician assistants (PA):Providers who...

...and explain race/ethnicity categories to a member, to assure accurate identification of race/ethnicity for all family members. Treatment plans are developed based on evidence-based clinical practice guidelines with consideration of...

...prior authorization for a specialty medication to be processed under the pharmacy benefit OR a physician administered drug to be processed under the medical benefit Medical and Other Prior Authorization...