...the state pays your providers directly for health care services you get. Populations Who Have the Option to Enroll Ages Supplemental Security Income (SSI) 0-19 Disabled Child Living at Home...

...formulary. Coverage Determination Request Form – If you believe you are entitled to payment or coverage on a certain drug, you can request a coverage determination by completing this form....

...any clinical records and other documentation that supports the argument for reimbursement. Non-contracted providers must mail the reconsideration within 90 calendar days of the explanation of payment (EOP) date or...

Congratulations on being pregnant. This can be a very exciting time. But it can also be stressful. Your body is changing, bringing some health challenges. Tell us you’re pregnant Let...

...that health plans must validate and update their contracted provider network every 90 days. This process ensures we have the most accurate information for claims payment and provider directories. To...

At TrueCare, we believe the best health care outcomes happen when providers and payors work together to improve your health and well-being. As Mississippi’s only nonprofit, provider-sponsored health plan, local...

...you can keep receiving the services. The letter will also tell you when you may have to pay for the services. If your request for a covered service is not...

...Pharmacy Mail Order Drugs Medication Therapy Management Medication Disposal Medicare Prescription Payment Plan Drug Transition Policy Ask Your HAP CareSource Pharmacist Do you have questions about your medications? Talk to...

...of your plan. Coverage Determination Request Form If you think you should get payment or benefits on a certain drug, you can request a coverage determination. Fill out this form:...

...who have a monthly Patient Pay Amount. You do not live in a state-operated veteran’s home. You are not currently enrolled in hospice care. Service Area HAP CareSource MI Coordinated...