...eligible and authorized to get under your Person-Centered Service Plan. This includes a primary care provider (PCP). Keep your Medicare PCP if you want to. Women have the right to...

...aplican a los afiliados a CareSource de Medicaid de Georgia, PeachCare for Kids®, y Planning for Health Babies® (P4HB®). En este aviso, nos referiremos a nosotros simplemente como “CareSource”. SUS...

...step therapy. The comprehensive formulary is the entire list of Part D drugs covered by your Part D plan: 2025 Comprehensive Formulary – English | Spanish (Updated 12/01/2025) Throughout the...

...Medical Care During Pregnancy Resources Medical Care During Pregnancy Preventing an Early Birth Pregnancy Calendar: A Week by Week Guide Taking Care of Your Mental Health During Pregnancy Birth Plans...

...Discriminated Against (Health and Human Services) How We Can Help Member Services We care about you! Call Member Services to find out what your health plan covers. We can link...

...your prescriptions cost as little as possible for both you and the plan. Step Therapy On your Formulary, Step Therapy limits show “ST” next to the drug name. If a...

We have compiled all of the essential forms in one place for you to utilize. Select the applicable form(s) for reporting, credentialing, claims, and more. Note: You may need to...

...appeal. Refer to the plan’s Evidence of Coverage (Chapter 9) for information about how to ask for an appeal. The DMP may not apply to members that have certain medical...

...Medication Review (CMR) All Adults meeting CMR Eligibility Criteria. $25 1x/calendar year Fill certain blood pressure medications (RASA) as a 100-day supply or greater. All Adults filling RASA during plan...

...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...