We realize that you perform administrative tasks in addition to tasks directly related to patient care. To assist you with these tasks, we’ve consolidated the information below. Member Billing Providers...

...West Virginia Health Coverage Programs and CareSource require that you submit your National Provider Identifier (NPI) number to CareSource along withthe completed West Virginia uniform credentialing and recredentialing form.Also complete...

...today! We are open 9 a.m. to 5:30 p.m., Eastern Time (ET) Monday through Friday. Comprehensive Drug Formulary HAP CareSource MI Health Link uses a Formulary. The formulary shows the...

...on when a prior authorization is required. You can also review our prior authorization list. Supplemental Benefits For 2026, CareSource Marketplace Plans feature the following supplemental benefits: TruHearing® provider network...

...Authorization Request Form (coming soon). Prescription Drug Benefit Documents List of Covered Drugs (Formulary)– A list of all drugs covered under your plan. List of Covered Drugs (Formulary) (Updated 10/20/2025)...

...Our ICD-10 resources include network notifications, frequently asked questions (FAQs), claim processing and preauthorization updates, as well as additional resources from the Centers for Medicare & Medicaid Services (CMS) and...

...will not be covered. If you have a drug that requires pre-authorization and you would like to use mail orders, our mail order pharmacy will call your provider. If your...

...Next Generation Managed Care: Prior Authorization and Claims Quick Reference Guide ODM Telehealth Billing Provider Reference Guide Opioid Tool Kit Provider Attestation FAQs Provider Immunization Guide Provider Portal: Assessments and...

...Treatment and other special outpatient care, home-based care and more. You will need prior authorization for this care. Your provider will get this for you. 24-Hour Nurse Advice Line Call...

...for help with your plan or finding an in-network provider or pharmacy. *Some drugs and services require pre-authorization from us before you get them. Check the Drug Formulary. Congratulations on...