Administrative Policies
These administrative policies apply to CareSource PASSE™.
Administrative policies offer guidance on determination of medical necessity, investigation and experimental services.
The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.
Current Administrative Policies
The following policies have moved to the Pharmacy Policy page:
- COVID-19 Vaccination
- Medicaid Drug Rebate Program (MDRP) Coverage Rules – AC Reject
- Medical Necessity – Off Label
- Medical Necessity for DAW
- Medical Necessity for Non-Formulary Medications
- Multi-ingredient Compound Policy