...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...

...Member Exception Request Form – Use this online form to ask for an exception to a drug listed on the CareSource Marketplace Drug Formulary Internal Appeal Request Form – Use...

...Patient Services Forms Provider Portal Provider Portal Find clinical tools and information about working with CareSource. Most Popular File Claims File An Appeal Prior Authorization Check Eligibility Additional Links Submit...