...is free for you. How can I get information sent to me in paper form? You can request information be sent to you in paper form. This is at no...

The comprehensive formulary is a list of all drugs covered under your CareSource Medicare Advantage plan. The formulary consists of more than 3,000 medications. Additionally, CareSource provides monthly formulary updates...

...ending. You can appeal if you disagree. You must ask for one within 60 days from the date listed on the letter. You or an authorized representative can file. Call...

Provider Attestation Form – Submit this form to attest to practice competency prior to working with CareSource. CCVS Provider Authorization and Release Form – Submit this form to authorize release...

...Survey Over and underutilization patterns and trends On an annual basis, we formally evaluate our QI program and performance metrics against set goals. Our formal results inform our QI strategy...

...designated by the Centers for Medicare & Medicaid Services (CMS), National Uniform Billing Committee (NUBC) and the American Dental Association (ADA). We cannot accept handwritten claims or superbills. Tips for...

A grievance is a formal complaint about us, our providers or the care you get. You or an authorized representative may file a grievance at any time. Call Member Services...

...filing the request for external review, you will also be required to authorize the release of your medical records as necessary to conduct the external review. You or your authorized...

...West Virginia Health Coverage Programs and CareSource require that you submit your National Provider Identifier (NPI) number to CareSource along withthe completed West Virginia uniform credentialing and recredentialing form.Also complete...

...to CareSource with a claim form. You may download a claim form on the Forms page or call Member Services for a printed copy. If you have questions about where...