...you need any of the $0 cost tests available, such as a cholesterol (LDL) or A1C test, get them. If you are on any of these $0 cost drugs*, such...

These reimbursement policies apply to the TRICARE Prime® Demo by CareSource Military & Veterans™ plan. Reimbursement policies are designed to assist you when submitting claims to us. They are routinely...

These medical policies apply to the CareSource plan. Medical policies offer guidance on determination of medical necessity and appropriateness of care for approved benefits. Benefit determinations and coverage decisions are...

...Testing A series of tests performed by a psychologist. The tests look at your behaviors, emotions, and thoughts. They can help you understand how severe your symptoms are. Your test...

...below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here. Latest Updates Date Status COVID-19 OTC At-Home Diagnostic Test Billing Guidance 12/16/2022...

...and sending you for tests or other kinds of care. Talk About Your Medications Talk with your provider about getting the most cost-effective drug for your health care needs. Many...

...you need any of the $0 cost tests available, such as an electrocardiogram, get them. If you are on any of these $0 cost drugs, such as digoxin or Entresto*...

...any of the $0 cost tests available, such as a diabetic kidney disease screening or A1C testing, get them. If you are on any of the $0 cost drugs available,...

...Authorization Statistics Please access the Pharmacy Prior Authorization Transparency Act Report to view the latest statistics. Please access the Utilization Management Prior Authorization Transparency Act Report to view the latest...

...Newsletters (coming soon) Updates & Announcements Looking for the latest provider updates and announcements? Access our Updates & Announcements page for provider network notifications. Stay Informed and Explore New Ways...