f Clinical Practice Guidelines CareSource approves and adopts evidence-based nationally accepted standards and clinical practice guidelines to help inform and guide the provision of clinical care to members. CPGs are...

Make the Most of Your Plan Explore the pages on our website that will help you navigate and use your plan. Your Plan Documents Your Plan Documents Your plan documents...

Quick References COVID-19 information Pharmacy information, including our Preferred Drug Lists (PDLs) Medical, pharmacy, reimbursement and administrative policies We strive to make partnering with us simple. We’re aware things may...

The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...

...materials you received when you enrolled included your Schedule of Benefits and Summary of Benefits and Coverage. They show the costs for covered services on your plan and examples of...

...below to visit our COVID-19 Provider Resource Center. VIEW COVID-19 INFORMATION Drug Formulary Look up medications for your patient’s plan. Research Drug Forms Find forms for contracting, authorization, claim submission...

...about our plan and services. As changes occur and as needs arise, we issue network notifications providers via the CareSource Updates & Announcements webpage. Please check these pages often to...

...appeals and complaints review your Part D Prescription Drug Plan Rights. What if I am taking a drug not on the formulary? CareSource Dual Advantage plan includes a drug transition...

...Announcements Our goal is to keep you informed with timely information about our plan and services. As changes occur and as needs arise, we issue network notifications providers via the...

...Store® for Apple® and Google Play® for Android®. You can also call Member Services or access it through the CareSource MyLife app. *Members with HDHP plans and HSA Eligible plans...