...ones. Member Consent/HIPAA Authorization Form Gives permission for CareSource to speak with a caregiver about a member’s medical, payment or protected health information. A CareSource member or appointed representative may...

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...

...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,...

...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...

...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...

...one place. To register, you need your name as it appears on your member ID card, your birthdate, and member ID number. Once you set up your account, be sure...

...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...