...$45 $30 Tier 3 (Preferred Brand) $45 $135 $90 Tier 4 (Non-Preferred Brand) $100 $300 $200 Tier 5 (Specialty) 30% of the cost Not Covered Not Covered Tier 6 (Select...

...The Silver&Fit program is provided by American Specialty Health Fitness, Inc., (ASH Fitness), a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit is a registered trademark of ASH and used...

Welcome to CareSource PASSE Our mission is: Putting Members First, Pursuing Better Health Care. Together we can make a lasting difference in the lives of those we serve by improving...

...with questions. Examples of the types of providers in our network Primary Care – Family Practice, Internal Medicine, Pediatrics and OB/GYN Behavioral Health – Mental Health and Addiction/Substance Disorders Specialty...

...and needs of the member population Assessing the geographic availability and accessibility of primary and specialty care providers The CareSource Indiana Quality Management and Improvement program is overseen by the...

...information about becoming a participating provider, please submit the following information when completing the New Health Partner Contract Form. Your W-9 tax form Name Specialty CAQH ID number Tax ID...

...to Chronic Opioid Use Lung Disorders Asthma COPD Medication Reconciliation Specialty Sickle Cell Disease If you would like more details on specific programs within these key clinical areas, a list...

...the provider manual. Telehealth When you need to refer patients to a specialty or level of care that is not offered locally, we have a solution. CareSource provides telehealth services...

...Pharmacy Prior Authorization Request Form – Submit this form to request prior authorization to prescribe specialty pharmacy medications, as outlined in the CareSource member’s plan Preferred Drug List (PDL). Synagis...

...regulatory agencies. A seasoned government programs executive, Scott brings 25 years of experience in managing health plan P&L, developing provider networks, building specialty health plans and overseeing financial reporting. In...