Our Quality Improvement (QI) Program is designed to ensure the organization delivers on all aspects of care delivery for beneficiaries based on their unique needs. We monitor, analyze and identify...

The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...

...pharmacy; and those that are administered in the patient’s home, including drugs administered through a home health agency. CareSource uses evidence-based guidelines to ensure health care services and drugs meet...

...means a lot to us. The purpose of the CareSource Indiana Quality Management and Improvement program is to ensure that CareSource Indiana has the resources needed to: Coordinate care Promote...

...members. CareSource PASSE members are informed of their rights and responsibilities via their member handbook. Please review our member rights and responsibilities and ensure your practice is in compliance. We...

...access the care they need. Coordinating Integrated Care Coordinated care is key to ensuring optimal outcomes for our members. We ensure our providers have access to behavioral health resources and...

...Error Number: 132 Error Description: Missing/Invalid Medicaid ID for Atypical Provider How to Fix: Ensure correct Medicaid ID is provided. Error Number: 187 Error Description: Date of Service (DOS) after...

CareSource uses evidence-based guidelines to ensure health care services and medications meet the standards of excellent medical practice and are the lowest cost alternative for the member. These requirements ensure...

...is critical to process your claims. In addition, it ensures our directories are up-to-date and reduces unnecessary calls to your practice. Up-to-date contact information is critical to process your claims....

...if they got the care they needed from their PCP. We also check to ensure our members get quality service from CareSource. Clinical Practice Guidelines: Member Health Information We use...