...is okay if your email is not secure. Please do not use email to send a member ID number, social security number or any health information. Please use the form...

...TO GET CARE Forms Forms All the forms you need in one place. Find Forms CareSource Re-Entry ProgramTM CareSource Re-Entry ProgramTM Transitioning home after being incarcerated can be a challenge...

...information on file before we will share your data. Former members can still log into My CareSource and complete the online form to give consent. CareSource can get your clinical...

...is integrated across all interventions. Addiction Help Care and Disease Management Coordination of Care form – PCP to Specialist (coming soon) Coordination of Care form – Specialist to PCP (coming...

...such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. 2025 Summary of Benefits (10/01/2024) Last updated on 10/01/2024 Forms Visit the Forms page to find forms when...

...other formats like large print, Braille or audio. This is all at no cost to you. 24-Hour Nurse Advice Line Get the help you need 24 hours a day, 7...

...send a member ID number, social security number or any health information. Please use the form or phone number above. This can help protect your privacy. You may also report...

...plan and state for which you would like to become a provider. Fill out the “New Health Partner Contract Form.” Under the “General Information” tab, select “I am not in...

...Coverage and Medical Terms Forms We want you to easily find the forms you need for your CareSource marketplace plan. Visit the Forms page to find any form when you...

...the service area, submit the bill you receive to CareSource with a claim form found on our Forms page. You can also get a claim form by calling Member Services...