Provider Manual

    This 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.

    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. HAP CareSource™ posts 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 1-833-230-2102.

    Transition of Care

    HAP CareSource will coordinate continuity of care for members who have existing care treatment plans that include scheduled services with nonparticipating health partners or who transition to or from another payer including those members identified as having special health care needs. For continuity of care request approvals for nonparticipating primary care providers, 30 days of service will be allowed for the nonparticipating health partner to transfer care to the network primary care provider.