...you can get the service. Your provider can submit a request for a prior authorization using this form. A list of services that require Prior Authorization is available on the...

...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...

...may not bill members for any covered services. To charge the member for non-covered services, the provider must obtain written acknowledgement that the member is assuming financial responsibility prior to...

...a link between your office and CareSource. It provides important information on topics such as covered services, services that require prior authorization, claim submission, and more. View the Dental Provider...

...1, 2026 12/01/2025 Summary of Formulary/Prior Authorization Changes Effective October 1, 2025 09/01/2025 Summary of Formulary/Prior Authorization Changes Effective July 1, 2025 06/01/2025 Summary of Formulary/Prior Authorization Changes Effective April...

...and preventive services do not need prior authorization. Many of these other services do require prior authorization. Call Member Services at 1-844-607-2829 (TTY: 711) to learn more. Dental Cleanings Yes...

...absence of scientific evidence, the guidelines will be determined by board-certified practitioners from appropriate specialties. CareSource submits to DCH for review and prior approval and as updated thereafter all clinical...

...Guides CareSource is committed to primary-behavioral health integration. We prioritize seamless communication initiated by behavioral health to primary care providers to promote the best outcomes for members. Please use the...

...form to evaluate scaling and root planning. ODJFS Dental Services Prior Authorization Form Submit this form to the Ohio Department of Job and Family Services (ODJFS) to request prior authorization...

...Changes to the Drug List Notification Date Summary of Formulary/Prior Authorization Changes Effective January 1, 2025 12/01/2025 Summary of Formulary/Prior Authorization Changes Effective October 1, 2025 09/01/2025 Summary of Formulary/Prior...