Member Billing Policy
State and federal regulations prohibit health care providers from billing CareSource members for services provided to them. Regulations state that health care providers must hold members harmless in the event that CareSource does not pay for a covered service performed by the provider unless CareSource denies Prior Authorization of the service and you notify the member in writing that the member is financially responsible for the specific service. This must be done prior to providing the service and the member must sign and date the notification. We appreciate your adherence to these requirements.
State and federal policy also prohibits health care providers from billing Medicaid consumers for missed appointments. This includes CareSource members. CareSource encourages members to keep scheduled appointments and call to cancel, if necessary. We also provide transportation to help ensure that our members make it to needed medical appointments.
Please feel free to call our Care Management Department if you are concerned about a CareSource member who misses appointments. We can assist you with education and follow-up.