...friend, a physician, an attorney or some other person that the member specifies. We recommend that you check member eligibility each time a member presents for services, as member eligibility...

...member use. All CareSource® members choose or are assigned a primary care provider (PCP) upon enrollment in the plan. PCPs should help facilitate a medical home for members. This means...

...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...

...the member’s card? Yes! Any participating primary care provider (PCP) may see eligible CareSource members. PCPs are responsible for verifying member eligibility before providing any services. Please log on to...

...to the Member Handbook for a list of covered services. You can also ask your care coordinator or call Member Services to have a printed copy of the member handbook...

...Memorial Day (May 31), Independence Day (July 5), Labor Day (Sept. 6), Thanksgiving Day (Nov. 25), and Christmas Day (Dec. 24). Members may access Member Services by calling our toll-free...

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...

...standards and clinical practice guidelines to help inform and guide the provision of clinical care to members. CPGs are identified through member review of member population demographics and state/national priorities....

...or Find A Claim Check Eligibility Check Eligibility Verify patient eligibility for coverage and learn more about health statuses. Check Eligibility Prior Authorization Prior Authorization View prior authorization requirements and...

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...