...Authorization Forms for Medical, Waiver, and Other Services Prior Authorizations forms for medical, waiver, and other services can be found on the Prior Authorization page. Claims Forms Claim Refund Check...

We want you to easily find the forms you need for your CareSource plan. Listed below are all the forms you may need as a CareSource member. To see the...

Please choose your plan from the drop down list above and click GO to see applicable forms. These forms allow caregivers to work with CareSource on behalf of their loved...

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...

DisposeRx® Request Form: Get a free DisposeRx packet to help you dispose of unused or expired medications. Fraud, Waste and Abuse Reporting Form: Use this form if you think that...

...More Forms Forms Find forms for contracting, authorization, claim submission and more. View Forms Provider Policies Provider Policies View medical, reimbursement, pharmacy and administrative provider policies. Review Policies Quick Reference...

...efficient processing of your claims, CareSource recommends you submit all claims electronically. Paper claim forms are encouraged only for services that require clinical documentation or other forms to process. If...

...materials all in one place. Documents Forms Forms Get the forms you need to make the most of your plan. Forms Where to get Care Where to get Care Get...

...Forms page. In emergent situations, requests may be accepted via phone. Phone: 1-855-202-1058 (Phone requests are not for routine prior authorization requests.) Note: All oncology medication treatment regimen requests must...

...Coverage and Medical Terms Forms We want you to easily find the forms you need for your CareSource marketplace plan. Visit the Forms page to find any form when you...