...et seq. (Quality Measurement and Improvement, External Quality Review), and 42 CFR Part 164 (Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Requirements) Establishing safe clinical practices throughout...

...opportunity to pursue additional on-campus responsibilities Teaching a managed care course to Cedarville and Butler University Students Precepting APPE students Mentorship by CareSource personnel Professional development and leadership Application Guidelines...

...Pharmacy Prior Authorizations. What is a Preferred Drug List? HIP Plus & State Plan Plus ( English | Spanish) HIP Basic, HIP State Plan Basic & Hoosier Healthwise Packages A...

The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here. # A B C D E F G H I...

Earn rewards for keeping your patients healthy! Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help...

...a covered benefit under Hoosier Healthwise, Healthy Indiana Plan (HIP) Plus, HIP State Plus and HIP State Basic, and HIP Maternity plans. Depending on the patient’s plan, additional benefits may...

...planning or emergency services, out-of-network health care providers need prior authorization (also called pre-approval). Go to www.caresource.com/in/plans/medicaid/benefits-services/referrals-prior-authorization/ for more details on prior authorization. Office Visits / Hospital Type of Service...

...identified in the Disease Management programs receive help finding the appropriate level of care for their condition, and they are encouraged to actively participate in the patient-provider relationship. The programs...

...A One Front Door approach has been established to simplify the submission of claims and prior authorizations. Submitting Claims and Authorizations Providers can submit claims and prior authorizations in two...

...a CareSource provider, you can easily access members’ benefits to best serve their needs. Prior Authorization Pharmacy Planning for Healthy Babies® Member Handbook Quality Improvement CareSource continually assesses the quality...