...Prevention of Cardiovascular Disease: Executive Summary American College of Cardiology and American Heart Association Task Force on Clinical Practice Guidelines The American Heart Association is a national voluntary health agency...

...Spinal Cord Neurostimulator Spinal Decompression Thermal Intradiscal Procedures Cardiac | Including all associated partial, total, and revision surgeries Cardiac Catheterization Coronary Angioplasty/Stenting Implantable Cardioverter Defibrillator ICD Revision or Removal Pacemaker...

...quality issue reviews. Medical record requests are forwarded to providers via mail, e-mail or fax and may be returned to CareSource via these same mechanisms as detailed in the medical...

...Get a CareSource member ID Card, Plan Documents or Change Your Doctor How do I get a new CareSource member ID card? You can get a new member ID card...

...under the plan, you should show your ID card every time you request health care services. If you do not show your ID card, your provider may fail to bill...

...drug that has formulary limits or restrictions when medically necessary. To determine medical necessity, CareSource MyCare Ohio will verify, through the provider’s supporting statement(s) and/or standards documented in clinical guidelines...

...CareSource provides the opportunity for providers to discuss the utilization management (UM) medical necessity determination of a denial or decrease in level of care with CareSource’s Medical Director/Behavioral Health Medical...

...Card The member ID card is used to identify a member; it does not guarantee eligibility or benefits coverage. Members may disenroll from CareSource and retain their previous ID card....

...Provider Training Available 07/20/2022 CareSource Live Instructor-Led Provider Training and Education Series 07/07/2022 Pharmacy Policy Updates - July 2022 07/01/2022 Quarter 3 & 4 Avalon Medical Policy Update 06/30/2022 We...

...Standard bank and card issuer fees apply* Paper Checks *Payment processing fees are what you pay your bank and credit card processor for use of payment via credit card. Enrollment...