...documents, click on the link, then choose Resources > Provider Documents > Evidence Based Preferred Drug List. Additionally, CareSource PASSE covers the over the counter (OTC) medications listed in Arkansas...

...Your Plan: Five Things To Know! 1. Know what’s covered. Review your plan documents to get the most from your health plan! Evidence of Coverage (EOC): Details about what the...

...as outpatient x-rays. This information is not a complete description of benefits. View Chapter 4 Medical Benefits (what is covered) of your Evidence of Coverage (EOC) on the Plan Documents...

...Well-baby and well-child visits Health, education and outreach Transportation to and from medical visits and other important appointments Visit the Plan Documents page to view the Member Handbook for more...

...and understand format. You can also view your Explanation of Benefits (EOB), which shows all claims within a period of time, by clicking the Documents tab at the top of...

Our Program Integrity Department handles cases of managed care fraud, waste or abuse. It can be done by providers, pharmacies, or members. Fraud means the purposeful misuse of or for...

The Public Health Emergency (PHE) for COVID-19 ended. Most services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...

Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...

...connect to Ariba Network by fax, email, online, through EDI or using cXML. Companies must be registered on Ariba Network before they can send and receive documents. Registration on Ariba...

...SSBCI allowance? Allowance amounts may vary by plan. Members may review their plan documents for allowance details. The allowance is distributed monthly and will roll over to the following month...