...form to evaluate scaling and root planning. ODJFS Dental Services Prior Authorization Form Submit this form to the Ohio Department of Job and Family Services (ODJFS) to request prior authorization...

...prevent this and preserve the family unit. Visit cfhcohio.org/respite-care to learn more. Questions? Call Member Services at 1-800-488-0134 (TTY: 711). We are open Monday through Friday, 7 a.m. to 8...

...about covered drugs, specialty medications, prior authorization and more about prescribing medications for your patients. Primary Care Provider Roles & Responsibilities Review the roles and responsibilities that are expected of...

...drugstore will give you a generic drug in place of a brand name drug. Generic drugs have the same effect and safety as brand name drugs. Your provider will need...

...and Family Services Pharmacy to pick up your prescriptions Gym Grocery Store Call Member Services at least two business days before you need a ride. If any special assistance is...

Accidental Dental Services All CareSource marketplace plans cover pediatric and adult dental service when related to accidental injury. See your Evidence Of Coverage or Schedule of Benefits for more information...

...benefit. This includes newly developed: Health care services Medical devices Therapies Treatment options Coverage is based on: Updated Medicaid and Medicare rules External technology assessment guidelines Food and Drug Administration...

...Medical Necessity – Non Formulary Medications Medical Necessity – Off Label, Approved Orphan and Compassionate Use Drugs Medical Necessity – Off Label, Approved Orphan and Compassionate Use Drugs Medical Necessity...

...drugs on a list called the preferred drug list (PDL), also called a formulary. The HAP CareSource PDL includes drugs on the Michigan Medicaid Managed Care Preferred Drug List and...

Member Rights As a member of CareSource you have the following rights: To get information about CareSource, its services, providers, and member rights and duties. To get all services that...