We streamline our business practices to limit the administrative burden on you and our members. Our goal is to make it easier for you to help our members access the...

CareSource covers all medically necessary Medicaid-covered drugs at many pharmacies. CareSource also covers many commonly used over-the-counter (OTC) medications with a written prescription from your doctor. CareSource uses Preferred Drug...

...or the care it provides. Make recommendations regarding the plan’s member rights and responsibilities policy. Choose an advance directive to designate the kind of care you wish to receive should...

CareSource is required to prevent, identify, investigate, correct and report (FWA). As a CareSource FDR, you share these same responsibilities and requirements. In order for you to be able to...

...Update - February 2025 02/01/2025 Prior Authorization Requirement Update 01/31/2025 Access to Lactation Consulting Services for Medicaid Beneficiaries 01/29/2025 Provider Network Management Provider Directory Information 01/06/2025 Policy Updates January 2025...

...APTC, or you purchased your policy directly from us (off the exchange), your grace period will be thirty-one (31) calendar days after your payment due date. During your grace period...

...family and other important people in your life. You can also put these decisions in to writing by completing an advance directive. This is a legal document that allows your...

...more information, you can reach out to Taylor Thompson, Director of Strategic Partnerships (taylor.thompson@caresource.com). Community Reinvestment Our community reinvestment initiatives are guided by an unwavering dedication to advancing health equity...

We are excited to welcome you as a CareSource member and introduce some of the programs and tools that make CareSource more than just health insurance. We are Health Care...

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...