Provider Manual

The CareSource Provider Manual contains information about our health care plans, policies and procedures, and general guidelines. The Manual provided below includes information for our Medicaid, CareSource Advantage^®.

Please click on the section links below to view or print the CareSource Provider Manual. 

• Cover Page
• Table of Contents
• Quick Reference Guide
• Introduction
• Member Enrollment and Eligibility
• Primary Care Providers
• Covered Services and Exclusions
• Referrals and Prior Authorizations
• Member Support Services and Benefits
• Claims Submissions
• Quality Improvement Program
• Appeals Procedures
• Specialty Care Providers
• Preventive Health Guidelines/Clinical Practice Guidelines
• Forms