...the regular clinic hours, if needed. Is there a specific enrollment process for providers? No, CareSource will identify eligible providers. Does this service require prior authorization? No, there are no...

...planning or emergency services, out-of-network health care providers need prior authorization (also called pre-approval). Go to www.caresource.com/in/plans/medicaid/benefits-services/referrals-prior-authorization/ for more details on prior authorization. Office Visits / Hospital Type of Service...

...Monday through Friday from 7 a.m. to 7 p.m. Make sure that you call for your ride two business days before your trip. Questions? Call us. You can also visit:medicaid.georgia.gov/programs/all-programs/non-emergency-medical-transportation....

...to choose a Patient-Centered Medical Home (PCMH) to coordinate their medical care. You can find these providers in our Find-A-Doctor online search tool. Disease Management Call 1-844-542-2610 (TTY: 711) to...

...call Member Services or view our quality improvement program. We want you to have the best health care possible. The CareSource Quality Improvement Program looks at both the medical, behavioral...

...this means: Covering services without any limits or need of a prior authorization. This includes services done by out-of-network providers. Using a special claims payment process to make sure providers...

...the amount you owe. You will get an EOB in the mail from us after you visit a provider or fill a prescription. We negotiate rates with our network providers...

CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness and benefit limits. Services that Require Prior Authorization Some services that require prior authorization from CareSource include, but are...

...Link, evaluates medical advances to determine their quality and safety. Participating providers may submit requests for evaluation. By regularly reviewing medical technologies and our benefit coverage, we strive to provide...

...assigned designated providers. CSP enrollees must get medications using their designated providers, and coordinate medical services through their primary care provider (PCP). If you would like to refer someone to...