...plan, please select your plan from the drop down list above. Explanations of when and why you may need to use a form are also provided below. Look for instructions...

...and appropriateness of health care services provided to our members. The Utilization Management department performs all utilization management (UM) activities including prior authorization, concurrent review, discharge planning and other activities....

Stay Informed and Explore New Ways to Work with Us CareSource® publishes newsletters so you can stay informed about plan news and explore new ways to work with us to...

...available in the fall. If that’s not possible, at least plan to get it before the end of October. Note: The COVID-19 vaccine does not protect you from the flu....

...partner policies. Policies may vary by plan and/or state. Click the links to access policies for your member’s plan. The policies presented on these pages may not be inclusive of...

...2026 Nevada Marketplace $0 Chronic Care Plans Brochure 2026 Ohio Marketplace ICHRA Brochure 2026 Ohio Marketplace Reference Guide 2026 Ohio Marketplace $0 Chronic Care Plans Brochure 2026 Ohio Marketplace Off-Exchange...

...The CareSource Marketplace Drug Formulary shows the drugs covered by your plan. Here are some more important facts about CareSource prescription drug coverage: You have to go to a pharmacy...

...to help keep yourself and your family safe. Make a family plan. Choose a friend or a family member who lives out of town to contact during an emergency. Family...

...Demo. Utilization Management – View our utilization management activities including prior authorization, concurrent review, discharge planning and other activities. Tobacco and Vaping Cessation Tool Kit – Access our tools and...

...apply to our Kentucky Marketplace plans. These reimbursement policies apply to our Indiana Marketplace plans. These reimbursement policies apply to our West Virginia Marketplace plans. These reimbursement policies apply to...