Forms

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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 1-844-679-7865.
  • Update Your Information – Please submit any changes for your practice using the Provider Maintenance Form on the Provider Portal. Simply login to the Portal and select “Provider Maintenance” from the navigation area on the left-hand side of the page.

    Medical Prior Authorization

    Claims

    Appeals

    Fraud, Waste and Abuse