...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...

...Authorization Request Form . Non-Participating Providers Prior authorization must be obtained before sending patients to nonparticipating providers, with the following exceptions. Emergency Services All in-patient services require prior authorization. Please...

DisposeRx® Request Form: Get a free DisposeRx packet to help you dispose of unused or expired medications. Fraud, Waste and Abuse Reporting Form: Use this form if you think that...

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...

...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...

...for Drug Administration T Three Day Window Payment Three-Day Window Payment Trading Partners Trading Partners Trading Partners Trading Partners Trading Partners U Utilization Management of Formulary Medications - Archived on...

...Compensation Disclosure Form View the 2026 Medicare Broker Compensation Disclosure Form VIEW THE 2025 BROKER’S COMPENSATION DISCLOSURE FORM VIEW THE NON-DISCRIMINATION NOTICE 2026 Broker’s Compensation Disclosure Form (coming soon) 2026...

...care. Provider Attestation Education Form: Use this form to provide attestation of completing education requirements. Provider Education Series: Behavioral Health: Additional Trainings & Events: Training CareSource periodically offers training, available...

...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...