...acid and/or a multivitamin with folic acid Family Planning Providers You do not need a referral to see a family planning provider. You can find a list of them in...

Provider Attestation Form – Submit this form to attest to practice competency prior to working with CareSource. CCVS Provider Authorization and Release Form – Submit this form to authorize release...

...we do not get your payment by the due date, your account is considered past due. This means your benefits are at risk and your providers may ask for payment...

Advance Directives An advance directive is a written record about your future care and treatment. This includes mental health care. It helps your family and providers know your wishes about...

...an organization determination. Who Can Ask for an Organization Determination? You Your appointed representative Your provider Full details for these requests can be found in the Evidence of Coverage (EOC)...

...contain your Application ID. You can check your application status on the provider portal. You will need to enter your National Provider Identifier (NPI) and Application ID to view your...

...provider to decide what to do when your temporary supply runs out. You have two options: You can change to another drug. Talk with your provider about whether there is...

Thank you for choosing us! We want you to be happy with your coverage. We offer a suite of online self-service tools, but you can always call Member Services with...

...by calling the Addiction Support Line (Coming Soon). I’m Ready. Where Do I Start? Call Member Services for help finding a provider and setting an appointment. Member Services: 1-833-230-2050 (TDD/TTY:...

...ID number Provider name and National Provider Identifier (NPI) Anticipated date of service Diagnosis code and narrative Procedure, treatment or service requested Number of visits requested, if applicable Reason for...