...not pay for a covered service performed by the provider unless CareSource PASSE denies prior authorization of the service and the provider notifies the member in writing that the member...

...Urine Drug Screening Prior Authorization Form – Submit this form when requesting prior authorization for urine drug screenings Submit the SUD 1115 Waiver Universal PA Form to request prior authorization...

...Active COVID-19: Temporary Change to Prior Authorization for Transition to Post-Acute Care – UPDATE 11/05/2021 Expired COVID-19: Medicare Billing Vaccination Billing Guidance 11/04/2021 Active COVID-19: Temporary Change to Prior Authorization...

...them. This process is called a Prior Authorization Request. Prior authorization may be required when: A drug has step therapy, which means you must try certain drugs before another drug...

...on when a prior authorization is required. You can also review our prior authorization list. Supplemental Benefits For 2026, CareSource Marketplace Plans feature the following supplemental benefits: TruHearing® provider network...

...benefits on a certain drug, you can request a coverage determination. If your prescription requires approval (prior authorization) prior to being filled, you will get a written notice explaining how...

...Coverage and Medical Terms Forms We want you to easily find the forms you need for your CareSource marketplace plan. Visit the Forms page to find any form when you...

...have questions about the prior authorization process or status, please call Member Services. Your provider can submit a request for a prior authorization using the Prior Authorization Request Form (Updated...

...authorization using the Prior Authorization Request Form. If you have questions about the prior authorization process or status, please call 1-833-230-2057 (TTY: 1-833-711-4711 or 711), 8 a.m. to 8 p.m.,...

...send a member ID number, social security number or any health information. Please use the form or phone number above. This can help protect your privacy. You may also report...