...Pay your monthly premium View payments and past invoices View claims to see what CareSource paid and what you owe Check your progress toward your deductible and out of pocket...

Coverage Determinations (Decisions) A decision we make about the payment for a Part D drug or an exception to our formulary. If you believe you are entitled to payment or...

...[Vietnamese] – 1-800-778-8440 Tobacco-Free Resources Five Ways Quitlines Help Benefits of Quitting Tobacco Former Smokers Share Stories Main Tobacco Cessation Page Tobacco Cessation and Pregnancy Tobacco Cessation and Youth Want...

...menu to launch the SUPDL. Prior authorization (PA) criteria links can be found with the associated Drug Class within this document. Note: PA Forms are on the Forms page under...

...to Fix: Correct DOS with date after ICD-10 was available. Error Number: 766 Error Description: Services were performed during a Health Insurance Exchange (HIX) premium payment grace period. Error Number:...

...plan. Visit the Forms page to find any form when you need it. How can I get information sent to me in paper form? You can request information be sent...

...get support. Feeding Baby Choosing to breastfeed, formula feed, or a combination of both is a hard decision for many new parents. Breastfeeding We want you to have the tools...

...Fill out the Grievances and Appeals form. Mail us a letter. Mail the letter to: CareSource PASSE Attn: Member Grievances P.O. Box 1947 Dayton, OH 45401-1947 Who can ask for...

...PASSE to measure their impact on member health outcomes. Review and approval of the guidelines are completed by the Market CareSource PASSE Provider Advisory Committee (PAC). The CareSource PASSE Enterprise...

...Urine Drug Screening Prior Authorization Form – Submit this form when requesting prior authorization for urine drug screenings Submit the SUD 1115 Waiver Universal PA Form to request prior authorization...