...want you to find the forms you need for your HAP CareSource Marketplace plan easily. Visit Forms page to find most forms when you need them. Review your CareSource plan...

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...

...Claims Prior Authorization Prior Authorization View prior authorization requirements and processes. Prior Authorization Forms Forms Find important forms for doing business with CareSource. View Forms Updates & Announcements Updates &...

...Fraud) Written Report: Use the Fraud, Waste and Abuse Reporting Form on www.caresource.com or write a letter and send to: CareSource Attn: Special Investigations Unit P.O. Box 1940 Dayton, OH...

...to submit the bill you receive to CareSource with a claim form found on our Forms page. You can also get a claim form by calling Member Services at 1-833-230-2020...

Provider Services Provider Services Commonwealth Care Alliance® (CCA): 1-866-420-9332 Weekdays, excluding Thursday, 8 a.m. to 5 p.m., Eastern Time (ET) and Thursdays, 8:30 a.m. to 5 p.m., Eastern Time (ET)...

...Envision Provider Directory, complete the Tell Us form. Ready to use your benefits? Make sure you use a network provider. Here’s how to find one: The Find-a-Doctor/Provider tool can help...

...outside the service area, you will need to submit the bill you receive to CareSource with a claim form found on our Forms page. You may also obtain a claim...

...learn more, call 1-855-202-0729 (TTY: 711) or fill out the Care Management Request and Referral Information form. Disease Management We know chronic health issues can be hard to manage. We...

...you and the person that you appoint must complete the Appointment of Representative form. Return the completed form to us along with your grievance, appeal, or request for an external...