...such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. 2025 Summary of Benefits (10/01/2024) Last updated on 10/01/2024 Forms Visit the Forms page to find forms when...

...supplies and enteral formula face masks, hand sanitizer and patient gowns Your doctor can help you get the equipment if you need it. Important phone numbers In case of an...

...We can get you interpreters for sign language or in the language you speak. You can also get materials in other formats like large print, Braille or audio. This is...

...Determination Online: Complete the Coverage Determination Request Form online. Call: Member Services Fax or Mail: Download the Coverage Determination Request Form and fax or mail it to us. Fax: 1-877-251-5896...

...HIV/AIDS. Tobacco, in all forms, also causes many other health issues. These issues can be: Heart disease. Cancer Breathing problems. Dental problems. Eye and ear problems. Bone problems. Reproductive problems....

...Maintenance Form (PMF) during the DOS. The provider’s affiliation status will need to be reviewed with ODM, and once updated on the PMF, the claim can be resubmitted. Claims submitted...

...you can use. Forms We want you to easily find the forms you need for your CareSource plan. Visit the Forms page to find any form when you need it....

Clinical Practice Guidelines CareSource approves and adopts evidence-based nationally accepted standards and clinical practice guidelines to help inform and guide the provision of clinical care to members. CPGs are identified...

...Fill out the Grievances and Appeals form. Mail us a letter. Mail the letter to: CareSource PASSE Attn: Member Grievances P.O. Box 1947 Dayton, OH 45401-1947 Who can ask for...

...health and well-being. Together we can transform lives through innovative health and life services Our difference Non-profit organization committed to putting people over profits Focused on individual and family health...