...Form Submit this form to report suspected fraud, waste or abuse. Below, you’ll find essential forms and documents providers need to best serve our members. Note: You may need to...

...the full amount of the charges. Please refer to your ID card and Plan Documents for specific coverage information after you enroll. We will make our benefit decisions within the...

Earn rewards for keeping your patients healthy! Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help...

Review your CareSource plan documents and other resources to make sure you get the most from your health insurance plan. You can also contact us with any questions you have...

At CareSource, we streamline our business practices to limit the administrative burden on you and our members. Our goal is to make it easier for you to help our members...

...make the most of your plan. Forms Plan Documents Plan Documents Get your key member materials all in one place. Documents Need to find a new doctor or see if...

...guidelines as PDF documents. Musculoskeletal and Cardiac procedures will require prior authorization for medical necessity and will be reviewed by TurningPoint Healthcare Solutions, LLC for adherence and consistency with these...

CareSource covers all medically necessary Medicaid-covered drugs at many pharmacies. CareSource also covers many commonly used over-the-counter (OTC) medications with a written prescription from your doctor. CareSource uses Preferred Drug...

The MemberSource newsletter is a great resource for health, wellness and plan information. Check out the latest edition for news you can use! If you want a printed newsletter, check...

Our Quality Improvement (QI) Program is designed to ensure the organization delivers on all aspects of care delivery for beneficiaries based on their unique needs. We monitor, analyze and identify...