...that describes the relationship between CareSource, and CareSource members. It serves as your contract with CareSource and describes CareSource members’ rights, responsibilities and obligations. It also tells you how the...

...the autism spectrum; prior authorization is required Counseling Individual, family and group sessions to talk it out; no prior authorization. Detoxification Treatment to help with your dependence on alcohol/drugs; prior...

...PMP or prior authorization by CareSource. Learn more about prior authorization and referrals. Please note what is a PA and what is a referral: Prior Authorization (PA): Approval that may...

...services; or Matters involving the contractual relationship between the member and the plan. Additional Help If you have questions about your rights or need help, please refer to the Evidence...

...prescribe. These drugs may require prior authorization. Prior Authorization means the drug needs approval before it is covered. Check the PDL for drugs that require prior authorization. Pharmacy Advantage can:...

...Routine care like screenings and exams. You get this care to help stop a health problem from occurring. Prior Authorization Approval that may be needed before you get a service....

...in the first 90 days of your membership and your medication is not on our covered drug list (formulary) or coverage is limited in some way, such as prior authorization,...

...and Healthy Indiana Plan (HIP) members. Our vision providers can access the following tools to help them provide efficient and quality care: Routine Vision Provider Manual This manual serves as...

...to other doctors (specialists) when needed. Admit you to the hospital if necessary. Get prior authorization from HAP CareSource MI Health Link for some services You can find the most...

...This model is in effect for both the Hoosier Healthwise (HHW) plan and the Healthy Indiana Plan (HIP). The CoCM uses an interdisciplinary team-based approach to provide evidence-based treatment of...