...full list of benefits. Provider Directory The most up-to-date list of providers is available through our Find a Doctor tool. This tool will show you primary care providers (PCPs), specialists,...

...a prior authorization. You do not need one to see your PCP or most specialists. You don’t need one for routine lab work, x-rays or many outpatient services either. Your...

It’s recommended that teens and young adults visit their primary care provider (PCP) for a Healthchek exam every year up to age 21. Healthchek is Ohio’s EPSDT benefit. EPSDT covers...

...to Care Sometimes you need medical care, but you can’t see your primary care provider (PCP). HAP CareSource MI Health Link makes it easy to get care for common health...

...list to see which services need approval before you can get them. 2025 Prior Authorization List Last updated on 01/01/2025 Usually, your primary care provider (PCP) will ask for prior...

Quick References COVID-19 information Pharmacy information, including our Preferred Drug Lists (PDLs) Medical, pharmacy, reimbursement and administrative policies We strive to make partnering with us simple. We’re aware things may...

Our Provider Manual is a resource for working with our health plan. This manual communicates policies and programs and outlines key information, such as claim submission, and reimbursement processes, authorizations,...

...which services need a prior authorization before you can get them. 2022 Prior Authorization List (Updated 10/01/2021) Usually your primary care provider (PCP) will ask for prior authorization from us...

The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here. 2018 Archived Pharmacy Policies 2019 Archived Pharmacy Policies 11/13/2019 Update...

As a CareSource member, you get extra benefits. These are for Georgia Families®, Georgia Pathways to CoverageTM, or PeachCare for Kids®, unless stated. For a full list of benefits and...