...Learn more about care coordination in your member handbook. Care Coordinator Your care coordinator is your main point of contact for all of your health and support needs. They will...

The frequently asked questions below are intended to help First Tier, Downstream and Related Entities (FDR) understand and manage their compliance efforts. Please click on the expandable menus below to...

...dentist and/or prior authorization from CareSource. Your dentist will make the request on your behalf. Depending on your plan, you may have more benefits. Please contact Member Services if you...

...a prior authorization before you get your medication. Contact your doctor for more information. For more information, call Accredo at 1-866-501-2009. They can take your call Monday through Friday from...

...within 90 days of becoming a member. If you would like more information about the program, please contact our Member Services department at the number below. We can help you...

...– For certain drugs, your doctor will need to contact us before you can fill your prescription. 2025 Prior Authorization Criteria Last updated on 12/01/2025 Step Therapy Criteria – For...

...of contact Incentives and rewards for completing health and wellness activities Mom’s Meals (Two meals per day for 14 days after an inpatient or skilled nursing stay (Community Well members...

...wise to not do any activities that have bouncing, leaping a sudden change of direction or a risk of abdominal injury. This would mean not playing contact sports like basketball,...

...Let us know! Contact Member Services at 1-833-230-2053 (TTY: 711) or fill out the Tell Us form. Member Services: 1-833-230-2053 (TTY: 711), 24 hours a day, seven days a week....

...our providers with the tools and resources they need to deliver the best care to our members. Use the Quick Reference Guide for key contact information, processes and procedures at...