...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...

...you need it. These clinics often have evening and weekend hours and allow walk-ins. You can find these network providers through Find a Doctor/Provider, our online search tool. Care Support...

Tools & Resources Tools & Resources Use common tools and resources to work with CareSource plans. Most Popular Drug Formulary Provider Manual Quick Reference Guide Additional Links Provider Policies Request...

...Gift Card in the mail along with additional information about the program and details on how to activate the gift card. As they complete a healthy activity, rewards are added...

...information with your providers and/or release health information to someone you name: Member Consent/HIPAA Authorization Form – Online Member Consent/HIPAA Authorization Form – Hard copy Fraud Waste and Abuse Reporting...

...Medicaid consumers. In addition to Medicaid coverage, CareSource has a diverse offering of insurance plan on the Health Insurance Marketplace. The company also offers Dual Eligible Special Needs plans that...

...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...

...AZ 85072-2000 Providers can complete the Coverage Determination Request Form to provide supporting statements for an exception request. Appeals If you are unsatisfied with the outcome of a coverage determination...

...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...