...decision we make about the payment for a Part D drug or an exception to our formulary. Organization Determination – A decision we make about covering a medical service (Part...

...and language interpreters as well as over-the phone (OPI) and video remote interpreting (VRI) when appropriate, for medical appointments outside of the surgical, hospital or emergency room setting*. These services...

...program that strives for member understanding of and satisfaction with their medical care. Our one-on-one personal interaction with outreach specialists and nurse care coordinators helps support your CareSource patient through...

...medically frail or with other medical conditions. We can also work with you if you need help figuring out when to get medical care from your doctor, an urgent care...

...guidelines as PDF documents. Musculoskeletal and Cardiac procedures will require prior authorization for medical necessity and will be reviewed by TurningPoint Healthcare Solutions, LLC for adherence and consistency with these...

Pharmacists may register as a CareSource Provider and bill for clinical services they provide in some circumstances. The services must medically necessary and within a pharmacist’s scope of practice (or...

...a prescription for them and take it to a medical equipment supplier. You can find these suppliers listed on our Find a Doctor tool. Just filter for Type: Medical Equipment....

This page explains the CareSource Indiana Quality Management and Improvement program. This section includes medical and technical terms. If you need help understanding this section, please call Member Services at...

...at 1-833-230-2099 (TTY: 711). 24-Hour Nurse Advice Line – Members may call any time of the day or night to speak to a registered nurse about health and medical concerns....

...more. View Forms Provider Administered Drugs Look up coverage of medications covered under the medical benefit on the Procedure Lookup tool and review policies on the Pharmacy Policies page Provider...