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....

...to our CareSource PASSE™ plan. Medical policies offer guidance on determination of medical necessity and appropriateness of care for approved benefits. Benefit determinations and coverage decisions are subject to all...

...We encourage providers to access the available education and training below to learn more about CareSource PASSE™ and topics related to administration and member care. 2026 Provider Orientation Schedule Join...

CareSource of North Carolina Co.® is committed to maintaining the quality and appropriateness of health care services provided to our members. The Utilization Management department performs all utilization management (UM)...

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...

...plan records, and make changes to your care. My CareSource accounts can be linked to manage health care for families. CareSource PASSE Mobile App Manage your CareSource PASSE plan on...

...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...