...These policy changes are maintained on this site. These medical policies apply to our CareSource PASSE™ plan. Medical policies offer guidance on determination of medical necessity and appropriateness of care...

...PASSE member at-a-glance. We offer benefits and services that go beyond basic care. Take advantage of all that CareSource PASSE has to offer: No copays for health care visits.* No...

CareSource PASSE pays for all medically necessary, CMS participating, Medicaid-covered FDA-approved products on the Preferred Drug List (PDL) at many pharmacies. These are drugs we prefer your provider to prescribe....

...Evidence-based medicine does not support long-term opioid treatment for chronic pain. CareSource PASSE™ offers the following resources as reference when treating patients with long-term high-dose opiate use. Guidelines for Prescribing...

We make it easy for you to request services for your patients. See below for benefit information and instructions to obtain services that enable improved access to care. 9-8-8 Suicide...

CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Services That Require Prior Authorization Please refer to the Procedure Code Lookup Tool to check whether...

...Plan Documents CareSource PASSE CareSource PASSE CareSource PASSE is the newest Provider-Led Arkansas Shared Savings Entity (PASSE) program in Arkansas! We are excited to serve Arkansans with complex behavioral health,...

Review the various errors below to understand how to correct and resubmit. When viewing your 277CA, all CareSource rejections will have a Claim Status Category Code of A7. The second...

CareSource PASSE can get your clinical health data from your previous health plan if you are a current member. This gives us a more complete record of your care. It...

...for gain of benefits. Waste means overusing benefits when they are not needed. Abuse is action that causes unneeded costs to CareSource PASSE. Overpayment means that CareSource PASSE may be...