...care provider (PCP) to order for you. Some drugs require prior authorization or are not covered by Medicare. Some drugs may also have quantity limits, and some drugs may require...

...locations on a case-by-case basis. Priority is given to organizations, collaboratives and initiatives that deploy innovative solutions. We select groups that address root problems rather than treats symptoms, engage the...

...in the first 90 days of your membership and your medication is not on our covered drug list (formulary) or coverage is limited in some way, such as prior authorization,...

...limitations. This may include requiring a prior authorization, step therapy, or quantity limit. The prior authorization requirements for your medicines may change. Questions? Call Member Services. The comprehensive formulary, pharmacy...

...mental illness (SMI) have a high smoking prevalence, low quit rates, and may not have tobacco treatment considered a priority within the Behavioral Health setting. These materials are intended for...

Common Ground Healthcare is now CareSource! We have a new name, but our commitment is the same. We make health insurance simple to use and easy to understand. Open Enrollment...

...learn more about CareSource PASSE’s collaboration with BetterDoctor, view the BetterDoctor FAQs. Up-to-date contact information is critical to process your claims and prior authorization requests. In addition, it ensures our...

...and no annual or lifetime dollar limits for essential health benefits. Now, you can get these additional healthy heart benefits too! *Prior authorization or step therapy required. **Limit of one...

...the regular clinic hours, if needed. Is there a specific enrollment process for providers? No, CareSource will identify eligible providers. Does this service require prior authorization? No, there are no...

...topics such as covered routine vision services, claims submissions, and prior authorization requirements and processes. Vision Provider Manual This manual serves as a link between your office and Superior Vision....