...Analysis for Autism Spectrum Disorder C Colorectal Cancer Screening F Facility Charges for Hospital-Based Outpatient Clinics I Interest Payments M Modifier 25 Modifier 59, XE, XP, XS, XU O Overpayment...

...Update For 2025, CareSource Marketplace Plans feature the following benefits: TruHearing® provider network for hearing services is included with all plans. EyeMed® provider network for vision services on all plans...

...a Prescription Drug Formulary (or just Formulary). Your Formulary is a list of cost-effective drugs that you might use. Usually drugs and devices on the Formulary are covered for you,...

...management for conditions such as: Asthma Diabetes High blood pressure Care after being in a hospital for a behavioral health condition Care for children given ADHD medicines We also look...

...for caregivers to manage and care for loved ones. Talk to us about what’s covered in your loved one’s plan. Get the health information you need for your loved one....

...be reviewed for adherence and consistency with CareSource’s laboratory policies and guidelines, as well as industry standards. The review will include evaluation of services for being experimental and/or investigative, as...

...tobacco, below are a couple resources for pregnant tobacco users. Quit Now Kentucky for Pregnant Women Calling Quit Now Kentucky at 1-800-QUIT-NOW (1-800-784-8669) is one of your best options for...

Claims Claims Submit claims, find processes and access time-saving tools. Submit or Find A Claim Check Eligibility Check Eligibility Verify patient eligibility for coverage and learn more about health statuses....

...Temporary Expansion for Molecular Diagnostic Testing for Influenza Virus Infection and Streptococcus A and B 04/16/2020 Expired COVID-19: Plan Collaboration for Long-Term Care 04/08/2020 Active COVID-19: CDC Health Alert on...

...can choose one right now. Fill out the pre-birth form below to sign up for a pediatrician. Call your Care Manager or us for help. Prenatal Care Resources Pregnancy and...