...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...

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....

...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...

...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...

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...

...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...

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...

...diagnostic imaging procedures: MRI/MRAs CT/CTA scans PET scans Ordering providers can obtain prior authorization from NIA for imaging procedures at RadMD’s website. CareSource PASSE™ evaluates prior authorization requests based on...

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...

...PASSE Pharmacist Do you have questions about your medications? Talk to a CareSource PASSE pharmacist! They can look over your medications with you and answer questions. You do not need...