...PMP or prior authorization by CareSource. Learn more about prior authorization and referrals. Please note what is a PA and what is a referral: Prior Authorization (PA): Approval that may...

...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...

...of additional requirements are listed below: Prior Authorization Criteria – For certain drugs, your doctor will need to contact us before you can fill your prescription. 2025 Prior Authorization Criteria...

...the autism spectrum; prior authorization is required Counseling Individual, family and group sessions to talk it out; no prior authorization. Detoxification Treatment to help with your dependence on alcohol/drugs; prior...

...The Prior Authorization List shows which services need a prior authorization before you can get them. 2022 Prior Authorization List (for Ohio only) 2021 Prior Authorization List Usually your primary...

...know. In order for CareSource to talk to your authorized representative, you and your authorized representative must complete the HIPAA Authorization Form and send it to us via fax or...

...a Pharmacy tool. Prior Authorization List Some services require approval from CareSource MyCare Ohio before you can get them. We call this prior authorization. Your provider will take care of...

...ones. Member Consent/HIPAA Authorization Form Gives permission for CareSource to speak with a caregiver about a member’s medical, payment or protected health information. A CareSource member or appointed representative may...

...can ask to bypass the limit by sending a request electronically or by faxing it to us. Prior Authorization On your Formulary, Prior Authorization limits will show “PA” next to...

...on topics such as covered routine vision services, claims submission and prior authorization requirements and processes. Resources View the Superior Vision care presentation for information on policies and procedures for...