...planning or emergency services, out-of-network health care providers need prior authorization (also called pre-approval). Go to www.caresource.com/in/plans/medicaid/benefits-services/referrals-prior-authorization/ for more details on prior authorization. Office Visits / Hospital Type of Service...

...a few of the services we provide to take care of you. Services for You: To see the services offered by your plan, select your state from the drop down...

...benefit information, ID card or change PCP. Contact Us is a list of our phone numbers. Benefits, copayments and coinsurance may change on January 1 of each year. The formulary,...

...that require Prior Authorization, please visit the Prescription Drug Formulary page. Services Outside of Network Routine care and services that you get outside of the CareSource network are not normally...

...information to identify the claim(s) in dispute A statement of why you believe a claim adjustment is needed and the expected outcome of the claim adjustment A statement of why...

Centralized Credentialing Ohio Department of Medicaid (ODM) has implemented a single, centralized provider credentialing process at the state level with the go-live of the Provider Network Management (PNM) portal. Under...

...delivery enterprises. CCA is dedicated to delivering comprehensive, integrated, and person-centered care, powered by its unique model of uncommon care®, which yields improved quality outcomes and lower costs of care....

TrueCare Receives Notice of Intent to Award Statewide Medicaid Contract in Mississippi August 18th, 2022 Innovative alliance placed first overall in the state’s evaluation of offerors. (JACKSON, MS – Aug....

...state exchanges nationwide. About 14.3 million of them were received APTC subsidies. You can get an APTC if your yearly household income is up to 400% of the federal poverty...

...to 133 percent of the Federal Poverty Level A resident of the State of Michigan What’s covered? You’ll have coverage for: Visits to your primary care physician, nurse practitioner, outpatient...