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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...The following is a list of available Prior Authorizations Forms: ABA Prior Authorization Form CES Waiver Prior Authorization Form Community Based/Behavioral Health Outpatient Prior Authorization Form EIDT/ADDT and ST/PT/OT Prior...
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Forms
https://www.caresource.com/providers/tools-resources/forms/...Form C Cardiac Agents Prior Authorization Request Form Carisoprodol Prior Authorization Request Form Compound Prior Authorization Request Form Cushing’s Syndrome Prior Authorization Request Form Cystic Fibrosis Prior Authorization Request Form...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...Please specify if you believe the request is urgent. Prior Authorization Forms Pharmacy Prior Authorization Request Form Specialty Pharmacy Prior Authorization Form Synagis Prior Authorization Form Hepatitis C Prior Authorization...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...has been revised. See notification dated 07/29/2021. 05/06/2021 Policy Updates May 2021 05/01/2021 New Transportation Vendor 04/30/2021 Prior Authorization Updates 04/28/2021 UPDATE - Prior Authorization Requirements 04/26/2021 National Provider Identifier...
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Forms
https://www.caresource.com/members/tools-resources/forms/...Consent/HIPAA Authorization Form – Online Member Consent/HIPAA Authorization Form - Hard copy Fraud Waste and Abuse Reporting Form – Use this form if you think a health partner or a...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...authorization. Although your provider should get a prior authorization from us, you may want to ensure that your provider has received our approved prior authorization. Many other services do not...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...service that requires a prior authorization, you must submit a retro-authorization request prior to filing a clinical appeal to our Utilization Review team for consideration. You may submit this online...
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Contact Us
https://www.caresource.com/providers/contact-us/...Prior authorization status Member eligibility Coordination of benefits, and more Additional Key Contact Information Below is a list of the plan’s phone numbers for general questions, prior authorizations, claim inquiries...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...– UPDATE 05/05/2025 May 2025 Policy Updates 05/01/2025 Level of Care and Prior Authorization Requirements for Medicaid Covered Nursing Facility (NF) Stays 04/25/2025 Temporary Waiver of Prior Authorization Requirements for...
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Drug Formulary Changes
https://www.caresource.com/providers/tools-resources/drug-formulary/drug-formulary-changes/...Authorization Changes Effective April 1, 2026 03/01/2026 Summary of Formulary/Prior Authorization Changes Effective January 1, 2026 12/01/2025 Summary of Formulary/Prior Authorization Changes Effective October 1, 2025 09/01/2025 Summary of Formulary/Prior...
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