...coverage. You will find: Details about your Benefits and Services. Plan Documents, such as your member handbook and evidence of coverage online for quick access. Information about our Care Management...

...Obstetric Care Consensus, Levels of Maternal Care The American College of Obstetricians and Gynecologists Maternal Health Avoidance of Nonmedically Indicated Early-Term Deliveries and Associated Neonatal Morbidities The American College of...

...the phone or on the internet. Watch out for people trying to offer you money or other free items for your personal information. Beware of any offers for free services...

...of this page to ask us to send it to you. Use the links on the left side of this page to learn more about how to file a grievance...

...Members may pay a small part of their prescription costs. This is called a copayment or copay. Learn more about pharmacy copays.Learn more about pharmacy copays. Georgia Pathways to Coverage...

...may request authorization by one of the following mechanisms: Online submission Form for office use English | Spanish Written request via fax: 1-877-251-5896 for oral medications and injectable/specialty medications Toll-free...

...an overall cost for services. Overall cost considers the place (ER, office, clinic) and the cost of working with the provider. This has a high impact on the cost of...

...Section 9 your Evidence of Coverage for timeframes for CareSource’s review of appeals and expedited appeals. Internal Appeal of Adverse Benefit Determination A decision we make about your coverage or...

...a physician’s medical judgment about individual patients. CareSource of North Carolina Co. defaults to all applicable state and federal guidelines regarding criteria for authorization of covered services. CareSource of North...

...of our health plan and the Ohio Department of Medicaid (ODM) as outlined in this manual. Providing 30 days of emergency coverage to any CareSource patient dismissed from the practice....