...Friday, 8 a.m. to 5 p.m. CT Medical Prior Authorization 1-833-230-2100 Monday through Friday, 8 a.m. to 5 p.m. CT Fax: 844-542-2608 Home and Community Support Services (HCBS), Waiver Services...

...in health status such as certain medical conditions may also cause changes in plan eligibility and coverage status. Quick Tips: Member Consent When you check eligibility on the provider portal,...

...not agree with a decision or action made by us about your medical care, you have the right to appeal. An appeal is a request to reconsider and change the...

...services. Read More Medical Medical Medical policies provide guidelines for determining medical necessity and appropriate care for approved benefits. Read More Pharmacy Pharmacy Pharmacy policies provide guidelines for prescription drugs....

...discussion of appropriate or medically necessary treatment options for their conditions, regardless of cost or benefit coverage To be sure that your medical record information will be kept private To...

...Eye Syndrome Testing Durable Medical Equipment (DME) Modifiers Durable Medical Equipment (DME) Modifiers Durable Medical Equipment (DME) Modifiers E Emergency Department Electrocardiogram (EKG/ECG) and Imaging Interpretation Emergency Department Electrocardiogram (EKG/ECG)...

...on Fingertip Formulary, a medical application you can download to your mobile device. CareSource uses a Preferred Drug List (PDL), or formulary, that is updated quarterly. You can view an...

...and co-occurring medical issues. Care & Disease Management Learn how our care and disease management programs can help those suffering from complex health conditions. Dental Access dental resources and dental...

...Use Teladoc for general medical and behavioral health services, like: General Medical Behavioral Health* Talk to a provider 24/7. Use for non-emergency health care needs like: Talk to a therapist...

...appeal. Those not authorized under State law to act for you will need to sign this form and mail it to the addresses below: For medical coverage: CareSource, P.O. Box...