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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...Medicaid (ODM) Next Generation Program - Provider Updates for October 1 Launch 09/06/2022 Policy Updates September 2022 09/01/2022 CLIA-Waived Tests Update 08/22/2022 BH Provider Service Resolution Process Summary 08/19/2022 Provider...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...from your health care providers. Our providers work with us in this effort. We choose providers based on their education and quality of care. We do not discriminate against any...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...Provider Types To qualify as a PCP, a provider must practice in one of the following primary care areas: General practice Family practice Internal medicine Pediatrics Obstetrics/gynecology A specialist may...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Authorization Request Form . Non-Participating Providers Prior authorization must be obtained before sending patients to nonparticipating providers, with the following exceptions. Emergency Services All in-patient services require prior authorization. Please...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...Health Provider Portal 10/01/2025 Launch of HealthPlanResources.com 08/19/2025 Provider Portal Service Request Submission Notice 08/14/2025 National Provider Identifier (NPI) for Ordering, Referring and Prescribing (ORP) Providers 06/26/2025 Removal of Temporary...
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FAQs
https://www.caresource.com/members/education/faqs/...get a new CareSource Member Handbook? Mail the postage-paid card from your new member booklet. The handbook is online. Call us. How do I get a new Provider Directory? Mail...
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Contact Us
https://www.caresource.com/members/contact-us/...when a visit to a provider, urgent care, or an ER visit is needed. Find out more about prescriptions or over-the-counter medications. Learn about nutrition and wellness, and more! Health...
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Find A Doctor
https://www.caresource.com/members/tools-resources/find-a-doctor/...a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Ready to use your...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...time you see a provider or get your prescriptions. Set up a visit with your primary care provider (PCP) soon after you enroll Check to see if your providers are...
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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...Find a Doctor tool. This tool will show you: Primary care providers (PCPs) Primary dental providers (PDPs)/Dental Home Specialists Hospitals Download the machine-readable Provider Directory here (json) Member Materials Behavioral...
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Provider directory