Utilization Management

We are committed to ensuring the quality and appropriateness of health care services provided to our members. The Utilization Management department performs all utilization management (UM) activities including prior authorization, concurrent review, discharge planning and other activities. We make our UM criteria available on this webpage and in writing through the following forms of communication:

Mail:
CareSource
P.O. Box 1307
Dayton, OH 45401-1307

Fax: 1-844-676-0372

On an annual basis, we complete an assessment of satisfaction with the UM process and identify any areas for improvement opportunities.