...Members information section for each plan. The Privacy Practices explain in detail how we may use and disclose Protected Health Information (PHI). Understand that the confidentiality of individually identifiable health...

...PCP button on the MyHelp menu. Then select from a list of providers in the CareSource network. They list is pre-sorted for your state and plan from the Find A...

...step therapy. The comprehensive formulary is the entire list of Part D drugs covered by your Part D plan: 2025 Comprehensive Formulary – English | Spanish (Updated 12/01/2025) Throughout the...

...Discriminated Against (Health and Human Services) How We Can Help Member Services We care about you! Call Member Services to find out what your health plan covers. We can link...

...Medical Care During Pregnancy Resources Medical Care During Pregnancy Preventing an Early Birth Pregnancy Calendar: A Week by Week Guide Taking Care of Your Mental Health During Pregnancy Birth Plans...

We have compiled all of the essential forms in one place for you to utilize. Select the applicable form(s) for reporting, credentialing, claims, and more. Note: You may need to...

...truly feel valued. Scott Markovich Executive Vice President, Markets & Products Scott Markovich oversees all CareSource health plans to support member growth, provider strategies and health plan performance. He also...

...aplican a los afiliados a CareSource de Medicaid de Georgia, PeachCare for Kids®, y Planning for Health Babies® (P4HB®). En este aviso, nos referiremos a nosotros simplemente como “CareSource”. SUS...

...appeal. Refer to the plan’s Evidence of Coverage (Chapter 9) for information about how to ask for an appeal. The DMP may not apply to members that have certain medical...

...Medication Review (CMR) All Adults meeting CMR Eligibility Criteria. $25 1x/calendar year Fill certain blood pressure medications (RASA) as a 100-day supply or greater. All Adults filling RASA during plan...