Review your CareSource marketplace plan documents to make sure you get the most from your health insurance plan. You can also contact us with any questions you have about your...

...and procedures as outlined in this manual. Complying with the quality standards of our health plans outlined in this manual. Providing 30 days of emergency coverage to any CareSource patient...

...to submit additional information for expedited clinical appeals. CareSource will outreach to the member within one business day about any information needed to evaluate the expedited appeal and will outreach...

...place just outside your neighborhood, and a place out of town. Review these plans with all members of your family and go over it by running drills. Stay informed, find...

Our Provider Manual is a resource for working with our health plan. This manual communicates policies and programs and outlines key information, such as claim submission, and reimbursement processes, authorizations,...

...Discriminated Against (Health and Human Services) How We Can Help Member Services We care about you! Call Member Services to find out what your health plan covers. We can link...

...Management department. Please call 1-833-230-2101 for any questions related to post-stabilization services. Advanced Imaging Prior Authorization Ordering physicians must obtain prior authorization for the following outpatient, non-emergent diagnostic imaging procedures:...

...by a pharmacist to discuss your patients’ medications. We also encourage members to talk with their pharmacist about their medications, as we want to make sure they are getting the...

...and death from cardiovascular diseases and stroke. Kidney Disease 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease Kidney Disease Outcomes Quality Initiative (KDOQI) U.S Commentary...

...access the care they need. Coordinating Integrated Care Coordinated care is key to ensuring optimal outcomes for our members. We ensure our providers have access to behavioral health resources and...