...PDL. For the most up-to-date information, access the online Formulary Search Tool under the “Online Drug Formulary” section below. HIP Plus & State Plan Plus HIP Basic, HIP State Plan...

...Dental Services Routine dental checkups and dental cleanings are covered under Hoosier Healthwise, HIP Plus, HIP State Plus, and HIP State Basic and HIP Maternity plans. You can find a...

...page. HIP Plus and HIP Basic Plans HIP Plus and HIP Basic are two options available to Indiana Medicaid members at or below the federal poverty level (FPL). HIP Plus...

...representative is someone you choose who can act and speak on your behalf. You and your authorized representative must fill out the HIPAA Authorization Form and send it to us...

...Next Generation Managed Care: Prior Authorization and Claims Quick Reference Guide ODM Telehealth Billing Provider Reference Guide Opioid Tool Kit Provider Attestation FAQs Provider Immunization Guide Provider Portal: Assessments and...

...which services need a prior authorization before you can get them. 2022 Prior Authorization List (Updated 10/01/2021) Usually your primary care provider (PCP) will ask for prior authorization from us...

...ones. Member Consent/HIPAA Authorization Form Gives permission for CareSource to speak with a caregiver about a member’s medical, payment or protected health information. A CareSource member or appointed representative may...

...Anxiety Depression Stress Substance use Trauma Relationship issues And more *Age restrictions apply General Medicine Talk to a provider 24/7. Use for non-emergency health care needs like: Cold and flu...

...Most specialty drugs need a prior authorization (PA) before you can get them. Some drugs have limits on how much can be given at once. Talk with your provider about...

...not pay for a covered service performed by the provider unless CareSource PASSE denies prior authorization of the service and the provider notifies the member in writing that the member...