...is referred to the ER ER services received based on a referral from the member’s primary medical provider (PMP) Claims received from a provider for services that have been pre-determined...

...services. We want you to get the care you need. We can get you an interpreter if you or your family’s primary language is not English. We can also help...

...which services need a prior authorization before you can get them. 2022 Prior Authorization List (Updated 10/01/2021) Usually your primary care provider (PCP) will ask for prior authorization from us...

...We are open 9 a.m. to 5:30 p.m. Monday through Friday. Comprehensive Drug Formulary CareSource MyCare Ohio uses a Comprehensive Formulary. The list shows the drugs we want your primary...

CareSource offers MyHealth as a benefit to members ages 18 and older. Through MyHealth, you have access to: Interactive health assessments. Personalized health tools, guides and videos. Online tools to...

Thank you for choosing us! We want you to be happy with your coverage. We offer a suite of online self-service tools, but you can always call Member Services with...

...check with your primary care provider (PCP) or Care Manager to see what services you may need. Additional Information Rewards will be added to your Healthy Benefits+ card. You get...

...providers. GA LIP enrollees must get their medicines filled at one pharmacy and use their primary care provider for medical care. If you would like to refer someone to be...

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...

...from the date of birth. In most cases, the newborn’s name will appear on the primary care provider’s member eligibility list for the month following the birth. Please contact Provider...