...information (SHI). The Member Consent/HIPAA Authorization Form can also be used to designate a person to speak on the member’s behalf. Please encourage CareSource members who have not consented to...

...only speak with individuals at a member’s school when members or their caregivers/guardians have agreed to it. It may also be helpful to have your care coordinator go to Individual...

...Accreditation Association) Member Materials Our Care Managers screen members who may be at risk for suicide. We may provide educational information that we encourage our members to discuss with their...

...members – your patients. Visit the Patient Care webpages below for information and resources that help us work together to provide best care for our members: Behavioral Health Find behavioral...

...with us and assist you in serving our members. CareSource wants to equip you to work with our health plan to provide the best service for our members. The following...

...barriers. CareSource JobConnect’s mission is to help members engage with employers in their local community. It has helped many members find long-term employment and support from area organizations. Employers have...

...and/or the denied claim If filing an appeal on behalf of a member or for pre-service issues, the member’s written consent (or signed Appointment of Representative form(coming soon) for dual...

...difference in our member’s lives, we offer $0 chronic care health plans. These innovative plans support members living with diabetes and heart conditions, in addition to overall improved plan options....

f Clinical Practice Guidelines CareSource approves 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...

Our Program Integrity Department handles cases of managed care fraud, waste or abuse. It can be done by providers, pharmacies, or members. Fraud means the purposeful misuse of or for...