...fraud, waste and abuse. If you have any questions about these examples or Fraud, Waste and Abuse in general, please send an email to: Fraud@CareSource.com. Provider: Billing for non-covered, medically...

...can help! We can get you sign language interpreters or interpreters in the language you speak. They can help you talk with us or your providers. You can also get...

...care. We care about you and your family’s health and wellbeing. CareSource members get access to a large provider network, reward programs like Kids First and Babies First®, free rides...

Do you need a ride to get care? We can help! Call Member Services to get a ride. We offer rides to: Any provider visit or health care appointment The...

...over-the-counter (OTC) medications. They use a preferred drug list (PDL) which is a list of drugs they prefer your provider prescribe. Please call Gainwell Member Services at 1-833-491-0344 (TTY: 1-833-655-2437)...

...ask how care is reviewed. You can ask about: Preservice review Urgent concurrent review Post service review Filing an appeal We do not reward providers or our staff for denying...

...care provider at the time you get services. If you have a monthly payment for your health plan, it is important to pay your bill on time to keep your...

...signing up When you have a reason to change, such as: You want to be on the same plan as a family member, You need care or providers that are...

...complete this form when applicable. Appointment of Representative Form An appointed representative is a relative, friend, advocate, provider or other person authorized to act on a member’s behalf in filing...

...and future treating providers. It is also shared with Health Information Exchanges (HIE). An HIE lets providers view information that CareSource has about members. You have the right to tell...