As a CareSource member, you get extra benefits. These are for Georgia Families®, Georgia Pathways to CoverageTM, or PeachCare for Kids®, unless stated. For a full list of benefits and...

Our Provider Manual is a resource for working with our health plan. This manual communicates policies and programs and outlines key information, such as claim submission, and reimbursement processes, authorizations,...

...benefits. Provider Directory The most up-to-date list of providers is available through our Find a Doctor tool. This tool will show you primary care providers (PCPs), specialists, hospitals, and more...

...a prior authorization. You do not need one to see your PCP or most specialists. You don’t need one for routine lab work, x-rays or many outpatient services either. Your...

...to Care Sometimes you need medical care, but you can’t see your primary care provider (PCP). HAP CareSource MI Health Link makes it easy to get care for common health...

...list to see which services need approval before you can get them. 2025 Prior Authorization List Last updated on 01/01/2025 Usually, your primary care provider (PCP) will ask for prior...

It’s recommended that teens and young adults visit their primary care provider (PCP) for a Healthchek exam every year up to age 21. Healthchek is Ohio’s EPSDT benefit. EPSDT covers...

We realize that you perform administrative tasks in addition to tasks directly related to patient care. To assist you with these tasks, we’ve consolidated the information below. Member Billing Providers...

...Find a Doctor tool. This tool will show you: Primary care providers (PCPs) Primary dental providers (PDPs)/Dental Home Specialists Hospitals Download the machine-readable Provider Directory here (json) Member Materials Behavioral...

This page explains the CareSource Indiana Quality Management and Improvement program. This section includes medical and technical terms. If you need help understanding this section, please call Member Services at...