...program. You can also call Member Services to learn more. Questions? Call Member Services at 1-800-488-0134 (TTY: 711). We are open Monday through Friday, 7 a.m. to 8 p.m. Looking...

Every member that participates in the CareSource PASSE™ program receives care coordination. The Care Coordination model is member-centered and member driven. Our Care Coordinators work directly with each member to...

...submit claims and check payments, CareSource offers tools to find specific information, such as claim status and member coordination of benefits (COB) status. CareSource accepts claims in a variety of...

...foundation of managed care knowledge and a skill set that will enable them to provide cost-effective, accessible, and high-quality care to members and to lead others. CareSource Information: The distance...

...timeframe a member and/or provider has to appeal. To initiate the peer-to-peer process, please call CareSource’s Utilization Management team at 1-833-230-2101. CareSource® evaluates prior authorization requests based on medical necessity,...

...the unique ethnic, cultural and social needs of the member and understand that social determinants of health are recognized as significant contributors to member outcomes and quality of life. CareSource...

...your health plan benefits. You can also call the Member Services phone number located on the back of your CareSource member ID card. Be Prepared for Your PCP Visit! Ready...

...provider, pharmacy or member you feel is committing fraud, waste, or abuse. Get Started Member Services: 1-833-230-2053 (TTY: 711), 24 hours a day, seven days a week. With the following...

...Effective April 1, 2021 03/01/2021 Member Summary of PDL Changes Effective January 1, 2021 12/01/2020 Member Summary of PDL Changes Effective October 1, 2020 09/01/2020 Member Summary of PDL Changes...

...caregivers, and community partners to meet the unique needs of our members and communities. We support a wide range of clinical areas with programs specifically tailored to our membership. Key...