Provider Attestation Form – Submit this form to attest to practice competency prior to working with CareSource. CCVS Provider Authorization and Release Form – Submit this form to authorize release...

...Form so that all providers involved in their care can effectively coordinate their care. This form is located on the Forms webpage. The HIPAA Authorization Form can also be used...

...list of available Prior Authorizations Forms: ABA Prior Authorization Form CES Waiver Prior Authorization Form Community Based/Behavioral Health Outpatient Prior Authorization Form EIDT/ADDT and ST/PT/OT Prior Authorization Form Environmental Modification...

Form 1099-MISC is an Internal Revenue Service (IRS) tax form that shows payments that CareSource issued to a provider, vendor or independent contractor. Form 1099-MISC is mailed to recipients by...

...Summary of Formulary Changes Effective April 1, 2024 03/01/2024 Summary of PDL Changes Effective March 15, 2024 02/15/2023 Summary of PDL Changes Effective January 01, 2024 12/01/2023 Summary of Formulary...

...and Rheumatoid Arthritis Site of Care for Drug Administration T Three Day Window Payment Three-Day Window Payment Three-Day Window Payment Trading Partners Trading Partners Trading Partners Trading Partners Trading Partners...

...a participating health partner? Providers can visit our Plan Participation page to learn how to contract with CareSource. Or, call Health Partner Services at 1-855-202-1058. We can give you the...

Earn rewards for keeping your patients healthy! Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help...

...Broker Compensation Disclosure Form View the 2026 Marketplace Broker Compensation Disclosure Form View the 2026 Medicare Broker Compensation Disclosure Form VIEW THE 2025 BROKER’S COMPENSATION DISCLOSURE FORM VIEW THE NON-DISCRIMINATION...

...Reporting Form and mailing it to the address below Filling out the Fraud, Waste and Abuse Reporting Form Sending us a letter addressed to: CareSource Attn: Program Integrity P.O. Box...