...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...

...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...

...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...

...Medicine HIP Plus HIP Basic Copays may apply HIP Maternity HIP State Plus HIP State Basic Copays may apply Prior Authorization Needed? Preferred Drug List (PDL) Drugs Yes Yes Yes...

...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...

...HIGHLIGHTS All standard Medicare and Medicaid benefits All standard Medicaid benefits No copays for Medicaid services, Medicaid-covered drugs or Medicare Part D drugs No copays for Medicaid services and Medicaid-covered...

...$715 per year** for making healthy decisions. Explore Your Rewards $0 Medicare and Medicaid Covered Drugs $0 COPAY FOR ALL MEDICARE AND MEDICAID COVERAGE DRUGS With CareSource MyCare Ohio, every...

What is a PCP? A Primary Care Provider also referred to as a PCP or your family doctor, is a CareSource network health care provider. A PCP offers a range...

Why should I quit vaping or using tobacco? It is bad for your health. It is responsible for one in every five deaths each year in the United States. It’s...

...intervention to those patients (see linked flier above for more information). CAGE AID – a commonly used, four-question tool used to screen for drug and alcohol use. It is a...