...– A health provider’s order for a drugstore to fill and give a drug to their patient. Prior Authorization – Pre-approved coverage from CareSource before health care is given. Providers...

...conditions, behavioral health and healthy living from the Education page. Access your plan webpages for the Member Handbook, benefits and services and other plan information. My CareSource Members can use...

...the provider manual. Telehealth When you need to refer patients to a specialty or level of care that is not offered locally, we have a solution. CareSource provides telehealth services...

...(includes Borgess, Genesys, Providence and St. John) Corewell Health Covenant HealthCare Detroit Medical Center (DMC) Hurley Medical Center McLaren Health Care MidMichigan Health Michigan Medicine MSU Health Care Sparrow Health...

...areas of performance. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers. NCQA evaluates the quality of health care that health plans...

The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here. 2018 Archived Pharmacy Policies 2019 Archived Pharmacy Policies 11/13/2019 Update...

...act that constitutes fraud under applicable federal or state law. FWA is short for fraud, waste, and abuse Health Information Technology for Economic and Clinical Health (HITECH) Act is law...

...workers, mental health practices and more. Care Management Our team can help you with the health care system. They can help you find what you need to be healthy. A...

...CareSource MI Health Link member, you’ll enjoy: Health and Wellness Over-the-Counter Items As a HAP CareSource MI Health Link member, you receive a $80 a month combined over-the-counter (OTC) and...

...behavioral health conditions such as depression, anxiety, and substance use disorder. The CoCM allows for a comprehensive team approach in treating common mental health conditions by incorporating behavioral health professionals...