...care or with payment for your care if necessary. Member and Provider Claims Services Department: Humana – CareSource Member Services and Provider Claim Services will answer provider and member calls...

Member Rights As a member of our health plan, you have the right to: Receive information about HAP CareSource, your health care services as well as member rights and responsibilities...

...Guidelines Suicide Prevention Tool Kit Member Benefits As a CareSource PASSE provider, you can easily access members’ benefits to best serve their needs using the following resources: Member Handbook Pharmacy...

...eligibility for an Advance Premium Tax Credit (APTC) or a Cost Sharing Reduction (CSR) plan. All household members that file a federal tax return should be included in your estimate...

...Test (FOBT) (Needed Yearly) $25 Health Needs Assessment (HNA) All Adults New members $50.00 if completed within the 1st 30 days of eligibility; $25 if completed within 31-90 days of...

...and conditions. For other covered dental services, please see your member handbook on our Plan Documents page. Vision As a HAP CareSource MI Health Link member, we want to make...

...vendors for goods or services Preventing members from accessing covered services resulting in underutilization of services offered Altering/destroying member materials, medical records, etc. Backdating forms The Federal False Claims Act:...

...drug, or less if your prescription is written for fewer days. This is in addition to the above long-term care transition supply. Long-Term Care Facility Members Long-term care facility members...

...drug, or less if your prescription is written for fewer days. This is in addition to the above long-term care transition supply. Long-Term Care Facility Members Long-term care facility members...

...Journey Maps OH|ID Registration Provider Enrollment and Credentialing in PNM Member Eligibility Verification Prior Authorization Submission Claims Submission Member Eligibility Verification Prior Authorization Submission Claims Submission Additional Resources ODM Provider...