Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...

We are excited to welcome you as a CareSource member and introduce some of the programs and tools that make CareSource more than just health insurance. We are Health Care...

...on its transformation promise. To achieve this, Erhardt and the team balance the mission with strong fundamentals and steady growth. Under his direction, the company expanded its footprint in Indiana...

...in.gov/medicaid/members/member-resources/managed-care-health-plans/. Please call us at 1-844-607-2829 (TTY: 1-800-743-3333 or 711) if you have questions about changing health care plans for an approved reason. For Healthy Indiana Plan (HIP) Members You...

...1-800-537-7697) Online: ocrportal.hhs.gov Choose your state or plan to view the document: Arkansas: ( English | Spanish) CareSource Dual Advantage Georgia Medicaid: ( English | Spanish) Indiana Medicaid: ( English...

...policies apply to our Ohio Medicaid plan. These medical policies apply to our Georgia Medicaid plans. These medical policies apply to our Indiana Medicaid plans. These medical polices apply to...

...and administrative policies for our health partners. We use Indiana Administrative Code, IHCP policies and MCG guidelines, as appropriate and applicable, to determine medically necessity. These policies are regularly reviewed,...

f Clinical Practice Guidelines CareSource approves and adopts evidence-based nationally accepted standards and clinical practice guidelines to help inform and guide the provision of clinical care to members. CPGs are...

We realize that you perform administrative tasks in addition to tasks directly related to patient care. To assist you with these tasks, we’ve consolidated the information below. Member Billing Providers...

All CareSource members choose or are assigned to a primary care provider (PCP) when they enroll in the plan. They can change to another network PCP as often as needed....