...wellness services Emergency services Hospitalization Prescription drugs Outpatient care Pregnancy, maternity and newborn care Mental health and substance use disorder services Rehabilitative and habilitative services and devices Laboratory services Pediatric...

...Contracted as Primary Care Providers 05/2010 Services Requiring Prior Authorization 02/2010 Top Claim Denials 02/2010 Corrected Claims 02/2010 Hemoglobin and HealthChek Screening Visits 02/2010 Refractive Service Codes 02/2010 Prior Authorization...

...services. Behavioral Health Care Coordination Services This no-cost service pairs you with a Care Manager. Our Care Managers are nurses, social workers or counselors. You and your Care Manager will...

...Services. Clinical Practice Guidelines Health Condition Clinical Guideline Asthma 2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert...

You get extra benefits, just for being a beneficiary. All at no cost to you! CareSource MyLife View your benefits, see your claims, access your beneficiary ID card and get...

...only once? Did you get services on all the dates of service that are shown? If you suspect an error or fraud, report it to us using one of the...

...service not covered by Medicaid, the provider may charge the member for the service as long as the member has been told prior to receiving the service that it was...

...pharmacy; and those that are administered in the patient’s home, including drugs administered through a home health agency. CareSource uses evidence-based guidelines to ensure health care services and drugs meet...

...Health and Human Services ―Agency for Healthcare Research and Quality (AHRQ). Potential CAHPS measures include: Customer service Getting care quickly Getting needed care How well doctors communicate Ratings of all...

...testing services for our members. Laboratory service providers can access the following tools to help them provide efficient and quality care. Policies Laboratory services reported on claims will be reviewed...