-
Appeals
https://www.caresource.com/members/tools-resources/grievance-appeal/appeal/...Part B drug appeals may not be extended. Learn more about appeals in your Evidence of Coverage (EOC) or Medicaid-Only Member Handbook. Questions? Call Member Services at 1-855-475-3163 (TTY: 1-833-711-4711...
-
Utilization Management/Service Determination
https://www.caresource.com/plans/caresource-passe/benefits/utilization-management/...best for your needs. Learn more about Utilization Management/Service Determination in your member handbook. You can also call Member Services to get a printed copy of the member handbook sent...
-
Plan Documents
https://www.caresource.com/plans/tricare-prime-demo/plan-documents/We want you to easily find the documents you need. The list below also tells you when and why you may need to use one of these documents. Beneficiary Handbook...
-
COVID-19 Information and Resources
https://www.caresource.com/members/tools-resources/covid19/...coverage if you do not take action. Visit this page to learn more about your plan. You can find more about covered benefits and services by reviewing your Member Handbook/Evidence...
-
Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...to OK the service and get an OK from CareSource, too. You can learn more by reading your member handbook. Services Outside of Network Call your PCP, other in-network provider...
-
Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...also listed in your Member Handbook. You have the right to: Receive information about CareSource, our services, our network providers and member rights and responsibilities. Be treated with respect and...
-
Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/...services including dental and vision, please see your member handbook. Over-the-Counter (OTC) Items You can get many OTC drugs at no cost to you. You will need a prescription from...
-
Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/This page explains the CareSource Indiana Quality Management and Improvement program. This section includes medical and technical terms. If you need help understanding this section, please call Member Services at...
-
Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...effects. There is a generic or preferred alternative drug available. The drug could be misused/abused. There are other drugs that should be tried first. View the Gainwell Member Handbook to...
-
Advance Directive
https://www.caresource.com/members/education/planning-ahead/advance-directive/...can make health care choices for you if you are not able. You can learn more about Advance Directives in your member handbook. Plan Ahead It will help you, your...
Found 103 results for
handbook