Grievance and Appeal

We hope you are happy with CareSource and the care you get. We want to know if you are not happy or do not agree with a decision made by us or our providers. We want to make it right.

Grievances

What is a Grievance?

A grievance is a formal complaint about us, our providers, or the care you get. They do not involve the denial of benefits.

Appeals

What is an Appeal?

An appeal is when you ask us to review a decision that denied a benefit or service.