...Non-Participating Providers Prior authorization must be obtained before sending patients to nonparticipating providers, with the following exceptions. Emergency Services All in-patient services require prior authorization. Please call 1-833-230-2101 to obtain...

...detailed information. Transition of Care CareSource will coordinate continuity of care for members who have existing care treatment plans that include scheduled services with non-participating health partners or who transition...

...Services at 1-855-202-1058. Transition of Care CareSource will coordinate continuity of care for members who have existing care treatment plans that include scheduled services with non-participating health partners or who...

...Sheet Submit this cover sheet and itemized statement for high dollar claims. Non-Participating Provider Profile Form (Coming Soon) Non-participating providers may submit claims to CareSource using this form. CareSource is...

The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here. # A B C D E F G H I...

Our Quality Improvement (QI) Program is designed to ensure the organization delivers on all aspects of care delivery for beneficiaries based on their unique needs. We monitor, analyze and identify...