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...

These medical policies apply to the CareSource plan. Medical policies offer guidance on determination of medical necessity and appropriateness of care for approved benefits. Benefit determinations and coverage decisions are...

CareSource’s Interoperability APIs are developer-friendly, FHIR-based APIs that allow third-party applications and vendors to connect their systems to CareSource patient and provider information. These Interoperability APIs enable CareSource members to...