...and resources they need to deliver the best care to our members. Use the Quick Reference Guide for key contact information, processes and procedures at your fingertips. Our Provider Manual...

...prior authorization by contacting the CareSource Utilization Management Department via: Provider Portal Mail Phone When submitting an authorization request, please provide the following information: Member/patient name and 11-digit CareSource member...

...to contact the School Based Health Administrator within Indiana. You can reach out to your Provider Engagement Specialist to be connected to the School-Based Health Administrator, who can meet with...

...initially prescribed. 2026 Step Therapy Criteria Prior Authorization Criteria For certain drugs, your prescriber will need to contact us before you can fill your prescription. Prior Authorization Criteria Visit the...

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

We have compiled all of the essential forms in one place for you to utilize. Select the applicable form(s) for reporting, credentialing, claims, and more. Note: You may need to...

The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here. # A B C D E F G H I...

CareSource wants to equip you to work with our health plan to provide the best service for our members. The following materials will help familiarize you with the CareSource Ohio...

Get $287 each month for healthy allowances when you use your Healthy Benefits+ card. You must have both your Medicare and Medicaid with CareSource to be eligible for this benefit....