...Use the HL7 FHIR (Fast Healthcare Interoperability Resource) for patient and publicly available provider data Use of OAuth 2.0 or Open ID for authorization flows to support for member authorization...

...the process of moving from a child/family-centered health care model to an adult/patient-centered model, starting prior to the age of 14 and continuing into young adulthood for CSHCS enrollees. The...

...(Periodontics)* Root Canals Routine Tooth Extractions Surgical Extractions* & Other Oral Surgery * Approval or prior authorization required. We cover routine eye exams and eyewear. If you are under the...

...information on PASSE services that are offered by CareSource PASSE that include: Covered benefits and how to get them. If any benefits have prior authorization requirements. Take part in decisions...

...Canals Routine Tooth Extractions Surgical Extractions* & Other Oral Surgery * Approval or prior authorization required. We cover routine eye exams and eyewear. If you are under the age of...

Thank you for choosing us! We want you to be happy with your coverage. We offer a suite of online self-service tools, but you can always call Member Services with...

These medical policies apply to the CareSource plan. Medical policies offer guidance on determination of medical necessity and appropriateness of care for approved benefits. Benefit determinations and coverage decisions are...

...Treatment and other special outpatient care, home-based care and more. You will need prior authorization for this care. Your provider will get this for you. Care Management Our Care Management...

...use disorder (SUD) care need prior authorization (PA). If you need partial hospitalization, Intensive Outpatient Treatment and other special outpatient care, home-based care and more, you will need a PA...

...Other Types of Care You may need partial hospitalization, Intensive Outpatient Treatment and other special outpatient care, home-based care and more. You will need prior authorization for this care. Your...