Prior Authorization Your doctor will work with us to get a prior authorization for services that need one. For example, some procedures and most inpatient hospital stays require prior authorization....

...with a primary care provider, specialist, dentist, optometrist and other CareSource providers to diagnose and treat problems or issues inpatient or outpatient hospital care clinic visits prescription drugs Health education...

...for this care. Your provider will get this for you. Partial hospitalization Inpatient hospital care Intensive Outpatient Treatment Special outpatient care Home-based care This is not a full list of...

...learn more and find out if you qualify. Meal Delivery* After you have an inpatient hospitalization or skilled nursing stay, you qualify for meal delivery through Mom’s Meals. You get...

...ones, or in a group. Inpatient Services When you spend at least one night in a hospital setting and get care. This care could be for mental health and/or substance...

...non-formulary exceptions. 72 hours: Expedited appeal requests that concern an urgent situation that doesn’t involve inpatient admission to a healthcare facility. Request requires a written consent. Standard non-formulary drug exception...

...Yes Yes Medication Assisted Treatment (MAT) Yes Yes Withdrawal Management Yes Yes Substance Use Disorder Residential Treatment Yes Yes Inpatient Mental Health and Substance Use Disorder Treatment Yes Yes Therapies...

CareSource PASSE™ may update this page with information about how to work with our plan. Have a question not addressed on this page? Contact Provider Services at 1-833-230-2100. You can...

...Acute In-Patient Detoxification (Opioid) Prior Authorization Criteria Applied Behavior Analysis (ABA) Applied Behavior Analysis for Autism Spectrum Disorder Applied Behavior Analysis for Autism Spectrum Disorder Applied Behavior Analysis for Autism...

...and receive a fitness kit, including wearable fitness trackers. Meal Delivery Two meals per day for 14 days after each inpatient hospital or skilled nursing stay. Advanced Care Planning Support...