...their care can effectively coordinate their care We recommend that you check member eligibility each time a member presents for services, as member eligibility can fluctuate. Changes in health status...

...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...

...Members may access Member Services by calling our toll-free number, 1-833-230-2099, 7 a.m. to 7 p.m. (TTY for the hearing impaired: 1-800-743-3333) and following the menu prompts. Members may access...

...member. Get a CareSource member ID Card, Plan Documents or Change Your Doctor How do I get a new CareSource member ID card? Log into your My CareSource account to...

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...

...and adopts evidence-based nationally accepted 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...

...tools. Submit 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...

...detail will be denied. Error Number: 30 Error Description: Member mismatch How to Fix: Either the member had the wrong sex identified on the claim submission, or the member’s address...