Provider Manual

The provider manual is a resource for working with our health plan. It communicates policies and programs and outlines key information such as claim submission and reimbursement processes, authorizations, member benefits and more to make it easier for you to do business with us.

To view this file, you may need to download Adobe Acrobat Reader.

Attention CareSource Dual Advantage Providers: CareSource has made available a Quick Reference Guide for you to reference specific information about the new D-SNP plan as a supplement to the Provider Manual. Mid-year, you will be directed to an updated Provider Manual which will incorporate a section just for the D-SNP plan.

  • Quick Reference Guide (coming soon)

Dental Provider Manual

The dental provider manual is a resource for our dental providers and serves as a link between your office and CareSource. It provides important information on topics such as covered services, services that require prior authorization, claim submission and more.

Updates & Announcements

We continually update information, both on a periodic and an as-necessary basis, and the content of the manual is subject to change without notice. We post updates through network notifications on the Updates & Announcements page. Please check this webpage often to stay current with all updates.

If you have any questions or would like more information, please call Provider Services at 1-833-230-2176.