Forms
Earn rewards for keeping your patients healthy!
Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help to keep CareSource members healthy. To support you, we will be rewarding you $20 for each flu shot you administer to CareSource patients in your practice!
Below, you’ll find essential forms and documents providers need to best serve our members.
Note: You may need to download Adobe Acrobat Reader to open these files.
Contracting and Practice Changes
New Health Partner Contract Form
Submit this form if you are interested in becoming a CareSource® provider. Need help? Refer to the User’s Guide for Completing New Health Partner Contract Form. If you have additional general questions about the New Health Partner Contract Form, call Provider Services at 1-833-230-2176.