...nothing in this section prevents CareSource from comparing the cost-effectiveness of alternative services or supplies when determining which of the services or supplies will be covered. Prior Authorization Timeframes and...

...Medical Equipment (DME) Modifiers Durable Medical Equipment (DME) Modifiers Durable Medical Equipment (DME) Modifiers Durable Medical Equipment (DME) Modifiers Durable Medical Equipment and Modifiers E Emergency Department EKG and Imaging...

...Statewide Uniform Preferred Drug List or SUPDL. Click the Find My Prescriptions link to see more details on how medicines and medical supplies are managed. Find My Prescriptions Search Prescriptions...

...or services that are not medically necessary Don’t give medically necessary services due to lower reimbursement rates Bill for tests or care that you did not have Use wrong medical...

The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...

...the same service Intentionally using improper medical coding to receive a higher rate of reimbursement Billing for services not provided Scheduling more frequent return visits than are needed Unbundling services...

...plan will help you reach your goals. It also links your medical health, developmental disability, and specialty health services. Can a care coordinator help pay my utility bills? A care...

...Ambulatory Surgical Center $250 copay $250 copay Diabetes Testing Supplies $0 copay $0 copay Durable Medical Equipment (DME) 20% coinsurance 20% coinsurance Home Health Care 0% copay 0% copay Ambulance...

...Coverage and Medical Terms Forms We want you to easily find the forms you need for your CareSource marketplace plan. Visit the Forms page to find any form when you...

...Medical equipment Having medical supplies like breathing equipment and others, delivered to your home. Quantity limits and prior authorizations are waived. This includes: medical supplies such as diabetic supplies, incontinence...