...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...

...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...

...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...

Provider Attestation Form – Submit this form to attest to practice competency prior to working with CareSource. CCVS Provider Authorization and Release Form – Submit this form to authorize release...

...more. Call Member Services to ask about our list of covered medications and those that need prior authorization. Medication Therapy Management, or MTM, is a service we offer at no...

...(Periodontics)* Root 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...

...verify procedures and payment mechanisms are compliant. Our proactive monitoring includes prepay review edits, prior authorization monitoring, analytic performance dashboard monitoring, and verification of services. Our reactive monitoring includes data...

...HITECH violations are: Disclosing member PHI to an unauthorized third party Using member PHI for an unauthorized purpose Accessing member PHI without proper authorization Failing to maintain the Security of...

...requests, please send a letter of representation and compliant HIPAA authorization to: CareSource Attn: Office of General Counsel 230 N. Main St Dayton, OH 45402 P: 937.531.2424 F: 937.487.1921 legalsubrogation@caresource.com...

...a exam. Make sure to ask for a Healthchek exam when you call. Some of the tests and treatment services may need prior authorization. Mothers should have prenatal exams and...