...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. 24-Hour Nurse Advice Line Call...

...PMP or prior authorization by CareSource. Learn more about prior authorization and referrals. Please note what is a PA and what is a referral: Prior Authorization (PA): Approval that may...

...our network. You should get urgent care from the nearest and most appropriate health care provider. Emergency care is covered both in and out of our service area. Prior to...

...a Pharmacy tool. Prior Authorization List Some services require approval from CareSource MyCare Ohio before you can get them. We call this prior authorization. Your provider will take care of...

...Medical equipment Having medical supplies like breathing equipment and others, delivered to your home. Quantity limits and prior authorizations are waived. This includes: medical supplies such as diabetic supplies, incontinence...

...paintings and other images or works of art, literary works, sound recordings, videos, trademarks, trade secrets or other items (collectively, “Third Party Materials”) without the explicit prior written permission to...

...key services — such as Primary Care and some Prescription Drugs — prior to having to satisfy your deductible. If you don’t expect to have many doctor appointments or need...

...Prior Authorizations Some prescriptions may need a prior authorization. This means that it will need to be reviewed and approved by us before you can fill it. Your provider will...

...on 12/01/2025 Prior Authorization Criteria – For certain drugs, your doctor will need to contact us before you can fill your prescription. 2025 Prior Authorization Criteria Last updated on 12/01/2025...

...(collectively, “Third Party Materials”) without the explicit prior written permission to use any such Third Party Materials; Be sexually explicit; graphically, gratuitously, or unnecessarily violent; defamatory or derogatory of any...