We want to make sure that you are receiving the best care possible. Therefore, in certain situations, we will require your doctor to ask for approval to perform certain activities....

...a flu shot!** And so much more! LEARN MORE Frequently Asked Questions More Questions? CareSource is here to make your health care experience smoother and more straightforward. Stay tuned for...

...make this request for you. View the prior authorization criteria list. We will also post any updates to this list here. Prior Authorization Criteria (Updated 04/01/2026) Step Therapy Criteria For...

...check the listings on the Food and Drug Administration (FDA) website. Quality Assurance We look at pharmacy claims to make sure drug use is safe and effective. We have system...

...we determine your appeal will be reviewed as a standard appeal under the 15-day timeframe instead of as an expedited appeal, we will make reasonable efforts to promptly notify you...

...copayment from you and is carrying your copayment as a debt owed by you, we may make the payment directly to the pharmacy. If the state paid on your behalf,...

Make the Most of Your Plan Explore the pages on our website that will help you navigate and use your plan. Your Plan Documents Your Plan Documents Your plan documents...

Create your safe, personal TrueCare MyLife account! You can use it to manage your benefits and make changes to your account. You can also link accounts for other family members....

As our member, you get medical and behavioral health benefits and more! We offer extra services to make it easy to use your benefits and stay healthy. As a HAP...

...in the hospital. It includes one-on-one and group therapy. If you are on medication, you will work with a prescriber to make sure it is working for you. Counseling Also...