...form to evaluate scaling and root planning. ODJFS Dental Services Prior Authorization Form Submit this form to the Ohio Department of Job and Family Services (ODJFS) to request prior authorization...

...and preventive services do not need prior authorization. Many of these other services do require prior authorization. Call Member Services at 1-844-607-2829 (TTY: 711) to learn more. Dental Cleanings Yes...

...1, 2026 12/01/2025 Summary of Formulary/Prior Authorization Changes Effective October 1, 2025 09/01/2025 Summary of Formulary/Prior Authorization Changes Effective July 1, 2025 06/01/2025 Summary of Formulary/Prior Authorization Changes Effective April...

...a CareSource provider, you can easily access members’ benefits to best serve their needs. Prior Authorization Pharmacy Planning for Healthy Babies® Member Handbook Quality Improvement CareSource continually assesses the quality...

...Authorization Changes Effective July 1, 2025 06/01/2025 Summary of Formulary/Prior Authorization Changes Effective April 1, 2025 03/01/2025 Summary of Formulary/Prior Authorization Changes Effective January 1, 2025 12/01/2024 Summary of Formulary/Prior...

...Active COVID-19: Temporary Change to Prior Authorization for Transition to Post-Acute Care – UPDATE 11/05/2021 Expired COVID-19: Medicare Billing Vaccination Billing Guidance 11/04/2021 Active COVID-19: Temporary Change to Prior Authorization...

...Urine Drug Screening Prior Authorization Form – Submit this form when requesting prior authorization for urine drug screenings Submit the SUD 1115 Waiver Universal PA Form to request prior authorization...

...Streamlined Claims and Authorizations: A One Front Door approach has been established to simplify the submission of claims and prior authorizations. Submitting Claims and Authorizations Providers can submit claims and...

...Forms Find forms for contracting, authorization, claim submission and more. VIEW FORMS Procedure Code Lookup Tool Look up CPT and HCPCS codes to determine if prior authorization is required. Procedure...

EDUCATION SEMINARS – West Virginia Senate Bill 267 – Prior Authorizations Learn about the prior authorization changes that the West Virginia Senate Bill 267 mandates for providers and payors effective...