cdmvheart Care Coordination What is a care coordinator? A care coordinator will connect you and your family with community support. They coordinate the services you are already getting and any...

...psychiatric nurse practitioners, physician assistants (PAs), case managers, therapists, and psychiatrists; however, some materials may also be appropriate for primary care and other health care providers who focus on substance...

...MP 1-1-2021 Wright State Physicians (Dayton, OH Area): MA D-SNP MP 12-1-2020 Firelands PHO (Sandusky, OH Area): MA D-SNP MP 1-1-2021 Signature Health (Cleveland and Columbus, OH Areas): MA D-SNP...

...(Gainesville, GA area), including the Longstreet Clinic, LLC and Northeast Georgia Physicians Group and other Health Partners Network Hospitals, Physician Groups and ancillaries, will be in-network for our Marketplace product...

Providers who wish to contract with CareSource® must first be credentialed. Through credentialing, we check the qualifications and performance of physicians and other health care practitioners. Providers are recredentialed a...

...historically low results. A Fellow of the American College of Physicians, Dr. Williams earned his bachelor’s degree in chemistry from Tougaloo College, master’s degree in chemistry from Jackson State University...

...medical condition before we will cover the drug your physician initially prescribed. Step Therapy Criteria – For certain drugs, we require you to first try another drug to treat your...

...prescribed by your physician. 2025 Step Therapy Criteria (Updated on 12/01/2025) 2025 Medicare Part B Drug Prior Authorization Policies What Are My Options Can I receive coverage for drugs not...

...that are performed by workers located in offshore countries, regardless of whether the works are employees of American or foreign companies. Physician Self-Referral is making referrals for certain designated health...

...on our Plan Documents page. 2022 Copayments and Fees Doctor Office Visits (In-Network) CareSource Advantage Zero Premium (HMO) CareSource Advantage (HMO) Primary Care Physician (PCP) $10 – $15 copay $0...