Health Partner Policies

CareSource maintains medical, payment and administrative policies for our health partners.

These policies are regularly reviewed, updated, withdrawn or added; and therefore, subject to change. Please check often for updates to health partner policies.

Policies may vary by plan and/or state. Click the links below to access policies for your member's plan.

Medical Policies

Payment Policies

Administrative Policies

Medicaid

Medicaid Medical Policies vary by state:

Medicaid

Medicaid Payment Policies vary by state:

Medicaid

Medicaid Administrative Policies vary by state:

Medicare

Medicare Medical Policies apply to Medicare Advantage plans in all states and the MyCare Ohio plan.

Medicare

Medicare Payment Policies apply to Medicare Advantage plans in all states and the MyCare Ohio plan.

Medicare

Medicare Administrative Policies apply to Medicare Advantage plans in all states and the MyCare Ohio plan.

CareSource Marketplace Plans

Marketplace Medical Policies apply to our Health Insurance Marketplace plans and vary by state:

CareSource Marketplace Plans

Marketplace Payment Policies apply to our Health Insurance Marketplace plans and vary by state:

CareSource Marketplace Plans

Marketplace Administrative Policies apply to our Health Insurance Marketplace plans and vary by state: