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!

FIND OUT MORE

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

Member-Related Forms

Medical Prior Authorization Forms

Claims Forms

Appeals Forms

Dental Forms

Fraud, Waste and Abuse Forms

Prior Authorization Forms