Patient Care

At Humana – CareSource®, everything we do is centered on improving the lives of our members – your patients.

Our Patient Care webpages provide information and resources that help us work together to provide the best care for our members.

  • Primary Care Provider Roles & Responsibilities – Review the roles and responsibilities that are expected of a CareSource primary care provider.
  • Patient Administration – Access the administrative procedures you need to provide patient care.
  • Care & Disease Management – Learn how our care and disease management programs can help those suffering from complex health conditions.
  • Behavioral Health – Find behavioral health resources for patients with mental health, substance use and co-occurring medical issues.
  • Pharmacy – Learn about covered drugs, specialty medications, prior authorization and more about prescribing medications for your patients.
  • Dental – Access dental resources and dental benefit information.
  • Health Care Links – Reference nationally recognized clinical practice and preventive health guidelines from CareSource.
  • Utilization Management – View our utilization management activities including prior authorization, concurrent review, discharge planning and other activities.

Maximum Allowable Cost (MAC)

Humana – CareSource® is dedicated to providing the most current MAC pricing for drug reimbursement.

MAC pricing can be accessed through the secure CVS/Caremark provider portal. MAC Appeals can be completed through the portal and by following the CVS Caremark Appeals Process instructions.