...best-in-class achievements to support CareSource’s mission of growth. Prior to joining CareSource, Larry was recently the Senior Vice President and Chief Actuary for WellCare, where he led the actuarial and...

...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...

...company (TrueCare). Staff accept collect calls about UM issues. Staff can answer questions about the UM process. You can call us about: UM for prior authorization (pre-approval) requests Any other...

...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...

...company (TrueCare). Staff accept collect calls about UM issues. Staff can answer questions about the UM process. You can call us about: UM for prior authorization (pre-approval) requests Any other...

Provider Attestation Form – Submit this form to attest to practice competency prior to working with CareSource. CCVS Provider Authorization and Release Form – Submit this form to authorize release...

...to verify procedures and payment mechanisms are compliant. Our proactive monitoring includes prepay review edits, prior authorization monitoring, analytic performance dashboard monitoring, and verification of services. Our reactive monitoring includes...

...Long-Term Services and Support (LTSS), Medicaid and Medicare. Throughout his career, he has driven successful business development strategies, created effective provider engagement initiatives and positioned markets for product expansion. Prior...

...you know we got your appeal. The people making appeal decisions are not part of prior reviews or decision making. They are health care professionals. They are supervised by our...

...DTM Advisors. Prior to joining DTM Advisors, he was the Chief Financial Officer for Dayton Children’s Hospital. Mr. Miller has served on the Board of Directors for several entities including...