Covered Services

As a member of CareSource, your child will get all services covered by the Children's Buy-In (CBI) Program. Please refer to the CBI Member Handbook for a complete list of covered and non-covered services. For CBI premium and cost sharing information, Premium and Cost Sharing Information.

CBI covered services include medically necessary:

  • Physician office visits and immunizations
  • Inpatient and outpatient hospital services
  • Emergency room and urgent care services
  • Prescription drugs
  • Mental health and substance abuse services
  • Ancillary services including durable medical equipment (DME), home health care, laboratory work, radiology services and ambulance use
  • Limited nursing home care
  • Case management

Other things our health professionals can help you with include:

  • Personal interaction with a registered nurse
  • Help with understanding your child's benefits
  • Health education
  • How to get needed care for your child
  • Finding doctors and specialists
  • Making appointments
  • Help with your needs between doctor visits, NOT just when your child is sick

Some services that are not covered under the CBI program include:

  • Dental
  • Vision
  • Private duty nursing
  • Chiropractic
  • Non-emergency transportation
  • Custodial/residential or non-skilled care

For a complete description of CBI benefits, please refer to the CBI Member Handbook. You may also want to visit our Find a Doctor link, which includes a list of providers in our network. If you have questions about CBI benefits, Contact Us.