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Behavioral Health Carve-In
https://www.caresource.com/providers/education/patient-care/behavioral-health-carve-in/...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...
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COVID-19 Updates
https://www.caresource.com/providers/tools-resources/updates-announcements/covid-19-updates/...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...
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Provider Overview
https://www.caresource.com/providers/EDUCATION SEMINARS – West Virginia Senate Bill 267 – Prior Authorizations Learn about the prior authorization changes that the West Virginia Senate Bill 267 mandates for providers and payors effective...
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Behavioral Health
https://www.caresource.com/plans/medicaid/benefits-services/behavioral-health/...the autism spectrum; prior authorization is required Counseling Individual, family and group sessions to talk it out; no prior authorization. Detoxification Treatment to help with your dependence on alcohol/drugs; prior...
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It’s Your Birthday Month!
https://www.caresource.com/members/education/diabetes-checkup/...you are a CareSource member — not only during your birthday month, but every day! Your health and well-being are our top priorities, and we’re here to support you on...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/CareSource PASSE™ follows Arkansas Medicaid’s evidence-based Prescription Drug Program, Preferred Drug List (PDL) and Prior Authorization Criteria. Search Tips: To access the downloadable Preferred Drug List and Prior Authorization Criteria...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...(SNIP) level edits before being forwarded to the responsible Managed Care Organization (MCO) for processing and payment. Prior Authorization Requests: OMES will serve as the centralized location for prior authorization...
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Plan Documents
https://www.caresource.com/plans/plan-documents/...which services need a prior authorization before you can get them. 2022 Prior Authorization List (Updated 10/01/2021) Usually your primary care provider (PCP) will ask for prior authorization from us...
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Training & Events
https://www.caresource.com/providers/education/training-events/gEarn rewards for keeping your patients healthy! Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help...
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Plan Documents
https://www.caresource.com/plans/mihealthlink/plan-documents/...2025 Prior Authorization List Usually your provider will ask for prior authorization from us and then schedule these services for you. Your provider can submit a request for a prior...
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