...experience and outcomes to members. Our Mission To make a lasting difference in our members’ lives by improving their health & well-being. CareSource Fact Sheet + Geographic Footprint Learn more...

...correctly billing with an all-inclusive procedure code – also known as “unbundling” Inappropriate use of CPT codes and/or modifiers to seek higher reimbursement Not checking a member’s identification card, resulting...

...Test (FOBT) (Needed Yearly) $25 Health Needs Assessment (HNA) All Adults New members $50.00 if completed within the 1st 30 days of eligibility; $25 if completed within 31-90 days of...

...for the chronically ill. Not all members qualify. My CareSource Rewards®** Earn up to $715 each year by completing eligible health activities, including: Annual Flu Shot Annual Wellness Exam Cancer...

...quarterly summary reports of a member’s behavioral health status to the PCP, with the member’s or the member’s legal guardian’s consent. Reports may be required more frequently if clinically indicated....

...your secure My.CareSource.com member portal account. Click on the Health tab. Mail: You can fill out a paper copy that you get in the mail. CareSource Care Manager: Members can...

...stay as healthy as possible. As a CareSource member, you have access to: The MyHealth® online tool for members 18+. You can participate in a journey to improve your health....

...is a $3 copay if the condition is not an emergency health issue. Otherwise, there is no copay for emergency services. PeachCare for Kids® Copays PeachCare for Kids® members age...

...or in-network means that these providers see CareSource members. Use our Find a Doctor tool to find one near you. Emergency care does not need prior authorization. Referral means that...

...as possible. We help our members through: Understand your disease or condition Work with your doctor to reach your health goals Know when to go to the Emergency Room or...