At CareSource, we bring true partnership to Georgia providers. As part of our network, you can expect accurate claims processing, efficient prior authorizations and the dedicated commitment of a nonprofit...

...Prior Authorization Provider Communications CareSource PASSE supports coordination across all interventions along the continuum of care. Visit these pages for resources to support coordinated care with a holistic, integrated approach:...

...plan generally must: Cover emergency services without requiring you to get approval for services in advance (prior authorization) Cover emergency services by out-of-network providers Base what you owe the provider...

...the new calendar year, such as prior authorization or step therapy requirements. You can get a transition refill up to 90 days after enrolling in a new plan or after...

...information on PASSE services that are offered by CareSource PASSE that include: Covered benefits and how to get them. If any benefits have prior authorization requirements. Take part in decisions...

...of getting the denial letter A state fair hearing ruling is made against you The authorization ends or service limits are met You may request an expedited internal appeal of...

...Benefits-At-A-Glance CareSource insurance plans for individuals and families provide comprehensive benefits including preventive care. Prior authorization is required for certain services. Benefits at a Glance Use this guide to see...

...your premium. Comply with all provisions of the policy that are outlined in the Certificate of Coverage. This includes Prior Authorization Know and confirm your benefits before receiving treatment. Show...

...dentist and/or prior authorization from CareSource. Your dentist will make the request on your behalf. Depending on your plan, you may have more benefits. Please contact Member Services if you...

...Canals Routine Tooth Extractions Surgical Extractions* & Other Oral Surgery * Approval or prior authorization required. We cover routine eye exams and eyewear. If you are under the age of...