...be used for trauma, chest pain, shortness of breath, or prescribing of DEA (Drug Enforcement Agency) controlled substances. Member Services: 1-855-202-0729 (TTY: 711), Monday through Friday 7 a.m. – 7...

...Jan. 1, 2024. For more information, review the Network Notification. Tools & Resources Tools & Resources Access information to help you with practice administration. Most Popular Drug Formulary Provider Manual...

...talk about what treatment may help you most. Detoxification (detox) Care that helps you withdraw from alcohol and drugs. It can take from 3 to 10 days for your body...

...Urine Drug Screening Prior Authorization Form – Submit this form when requesting prior authorization for urine drug screenings Submit the SUD 1115 Waiver Universal PA Form to request prior authorization...

Member Services We can help you: Get interpreters in the language you speak. Get printed copies of your plan materials sent to you at no charge. Learn more about your...

...opioids to reduce risk of overdose Checklist for Prescribing Opioids for Chronic Pain – Checklist before prescribing opioids for chronic pain Prescription Drug Monitoring Programs (PDMP) – Guideline for prescribing...

...while reserving the right to get back any amounts paid during this period. Reject prescription drug claims during the second and third months of grace period. You are responsible for...

...or drug use, depression or stress reduction, we can help. If you have any questions about what your plan covers or how to find a provider, call Member Services at...

...Home health services $3 Hospital-based Rural Health Center (RHC) $2 Inpatient services $12.50 Face or jaw surgery Cost-Based Orthotics and prosthetics $3 Outpatient services $3 Pharmacy – preferred drugs $0.50...

...prescription drugs inconsistent with the order Submitting claims for a more expensive brand drug when a less expensive generic prescription is dispensed Dispensing less than the prescribed quantity without arranging...