...You should get urgent care from the nearest and most appropriate health care provider. Emergency care is covered both in and out of our service area. Prior to seeking urgent...

...a exam. Make sure to ask for a Healthchek exam when you call. Some of the tests and treatment services may need prior authorization. Mothers should have prenatal exams and...

...Health Equity Accreditation provides an actionable framework for helping health systems continuously improve—and prioritize—health equity for the members and communities we serve. NCQA LONG-TERM SERVICES AND SUPPORTS (LTSS) DESTINCTION Michigan...

...in information technology which has improved the accessibility of technology within the health care industry to increase company agility. Prior to joining CareSource, she worked for Blue Shield of California,...

...operational and membership targets, improving customer satisfaction ratings, and enhancing quality and HEDIS results. Prior to joining CareSource in 2016, Mike held a number of executive roles for other health...

...professionals and facilities The billing and payment of your claims The review of your health care and use of benefits The prior authorization of your requested services Data exchanged for...

In 2021, we launched a new initiative to recognize organizations and programs that make significant impacts on communities’ toughest health issues. Through the CareSource Grant Challenge, we hope to inspire...

We are excited to welcome you as a CareSource member and introduce some of the programs and tools that make CareSource more than just health insurance. We are Health Care...

...exam, cleaning, fluoride treatments and dental implants. *Prior Authorization required. Vision Benefits No cost routine eye exam. Routine Exam, Eyeglasses are covered: Age 21-59 – 1 pair every 2 years;...

The frequently asked questions below are intended to help First Tier, Downstream and Related Entities (FDR) understand and manage their compliance efforts. Please click on the expandable menus below to...