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

...in emergency or urgent care situations. If you obtain routine care from out-of-network-providers, neither Medicare nor CareSource will be responsible for the costs, unless specifically authorized by CareSource. You must...

...copays for prescriptions.* Care Coordinators who genuinely care about you and will work with you and your providers to achieve your goals and hopes for the future. 24/7 access to...

...providers Understand your benefits Get transportation to health visits Fill out the Health Risk Assessment (HRA) Find community resources And more! If you don’t know who your Care Manager is,...

...group of Arkansas health care providers brings a wide range of knowledge from many medical and behavioral health perspectives. They have a history of experience serving their fellow Arkansans. They...

...not see the service you need. With the exception of family planning or emergency services, out-of-network health care providers need prior authorization. Office Visits / Hospital Visits HIP Plus HIP...

...All internal appeal requests must have: The covered person’s name and ID number as shown on the ID card The provider’s name The date of the medical service The reason...

...and lifestyle, CareSource can help your providers coordinate your care. You can even earn a $30 Walmart® Gift Card when you complete the HNS!* You can take the HNS in...

How could you be sure you would receive the medical treatment you choose if you were sick or incapacitated (for example, if you are unable to speak for yourself)? You...

...shot each year. Pneumococcal Vaccine: Adults 65 or older should get the vaccine. Health care providers may also suggest it for people younger than 65 who have certain other health...