...an organization determination. Who Can Ask for an Organization Determination? You Your appointed representative Your provider Full details for these requests can be found in the Evidence of Coverage (EOC)...

...you have questions about your rights or need help, please refer to your Evidence of Coverage or call Member Services. These services include quality and standards of care, benefits, or...

...My Benefits CareSource members get more with their benefits. Learn more about what’s covered. Member Handbook Evidence of Coverage and Schedule of Benefits Where to Get Care Substance Use Disorder...

...of your Evidence of Coverage. Who Can Ask for an Appeal? You Your appointed representative Your provider You have 60 days from the date on your organization decision to file...

If you are not happy with CareSource, let us know. We want to make it right. You have the right to change to a different Georgia Families® Georgia Pathways to...

...and coordination of services that is data-driven, person-centered, collaborative, and supported by evidence-based protocols to facilitate improved member access, outcomes and satisfaction. The care management program connects members and their...

...View Chapter 3 Using the plan for your medical and other covered services in your Evidence of Coverage (EOC) on the Plan Documents page for full information on in-network and...

...get, services that are not included and your rights and responsibilities. 2026 Evidence of Coverage (EOC) CareSource Dual Advantage (TM) (3/01/2026) Last updated on 3/01/2026 2026 Evidence of Coverage (EOC)...

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...

...we can mail it to you. You can also find additional plan documents in your CareSource MyLife account. Member Handbook/Evidence of Coverage Your Member Handbook/Evidence of Coverage is a guide...