Servicios para Afiliados: 1-844-607-2829 (TTY: 1-800-743-3333), de 8 a. m. a 8 p. m., de lunes a viernes, hora del este. Servicios para Afiliados: 1-855-202-0729 (TTY: 1-800-255-0056 o 711), de lunes a...

...Prior Authorization Request Form (coming soon). Home and Community Based Services (HCBS)/Waiver providers should submit the HCBS/Waiver Provider Prior Authorization Request Form (coming soon). Nonparticipating Providers Prior authorization must be...

...the operations, activities or behavior of CareSource or one of our providers. Complete details on grievances can be found in the Evidence of Coverage (Chapter 9, section 10). This document...

...medical expenses that should have been covered under your CareSource benefits. Member Claim Form – Use this form to request to be reimbursed if you paid for medical expenses that...

...less than 30 miles at no cost to you, including: Doctor visits Medical tests Treatments A pharmacy to get a prescription filled after a medical appointment County redetermination In addition...

...impact your care. We always look at standards set by the medical community through practicing providers’ input, regulators and accrediting bodies. A written evaluation of the Quality Improvement program is...

...qualify for an exception because of your unique medical needs, you or your physician should contact us and ask for a coverage determination. Please note: If your pharmacy tells you...