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...

...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...

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...

...Partial Hospitalization Program - Mental Health Partial Hospitalization Program - Substance Use Disorder Partial Hospitalization Program – Mental Health Partial Hospitalization Program – Mental Health Partial Hospitalization Program – Substance...

...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...

...materials all in one place. Documents Forms Forms Get the forms you need to make the most of your plan. Forms Where to get Care Where to get Care Get...