...And so much more! *Some services need to be approved before you can get them. This is called prior authorization (pre-authorization). It must be medically necessary for your care. Your...

...the regular clinic hours, if needed. Is there a specific enrollment process for providers? No, CareSource will identify eligible providers. Does this service require prior authorization? No, there are no...

...Claims Prior Authorization Prior Authorization View prior authorization requirements and processes. Prior Authorization Forms Forms Find important forms for doing business with CareSource. View Forms Updates & Announcements Updates &...

...are open Monday through Friday, 8 a.m. to 4:30 p.m. CT. Prior Authorization CareSource PASSE may ask your provider why you need a certain type or dose of medicine. Prior...

...this means: Covering services without any limits or need of a prior authorization. This includes services done by out-of-network providers. Using a special claims payment process to make sure providers...

...medical practice and are the lowest cost alternative for the member. These requirements ensure appropriate use of these medications. Drug Formulary Pharmacy Policies Pharmacy Forms Prior Authorization Pharmacy Benefit Manager...

...of your membership and your medication is not on your new plan’s covered drug list (formulary) or coverage is limited in some way, such as prior authorization, step therapy, or...

...TrueCare™ on behalf of a member, you will need written consent. Member Consent/HIPAA Authorization Form: This form will give us permission to speak with a caregiver about a member’s medical,...

Benefits & Services Benefits & Services See what is covered and how to make the most of your benefits. Benefits & Services Plan Documents Plan Documents Get your key member...

...Other Types of Care You may need partial hospitalization, Intensive Outpatient Treatment and other special outpatient care, home-based care and more. You will need prior authorization for this care. Your...