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CareSource of North Carolina Co.® is committed to maintaining the quality and appropriateness of health care services provided to our members. The Utilization Management department performs all utilization management (UM)...

...We Want You To Be Happy! We hope you are happy with your CareSource benefits and services. If you are dissatisfied with a provider, disagree with a decision we have...

We want to make it as easy as possible to conduct business with us. In addition to information about how to submit claims and check payments, CareSource offers you tools...

...the HAP CareSource™ Provider Portal. How to Register for the HAP CareSource Provider Portal It’s easy! You will access the HAP CareSource Provider Portal through the HAP Portal. Only one...

cdmvheart Care Coordination What is a care coordinator? A care coordinator will connect you and your family with community support. They coordinate the services you are already getting and any...

Before providing care or prescribing medicine for your patients, please review the CareSource® MyCare Ohio (HMO D-SNP) Medicare Part D formulary and Medicaid List of Covered Drugs. f Formulary Use...

...please call us. Our Member Services staff will be happy to answer your questions. You can also contact your Care Manager with questions. Member Services: 1-833-230-2099 (TTY: 711), 7 a.m....

CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Services That Require Prior Authorization Please refer to the Procedure Code Lookup Tool to check whether...

...Reference Guides Below, you will find quick reference guides and additional resources: Clinical Practice Registry Guide HAP CareSource Provider Portal Quick Start Guide HAP CareSource Provider Portal Flier Provider Transition...