...of a payment transformation reimbursement model for 90% of primary care providers, transitioning from volume-based to value-based payments. This initiative aimed to incentivize superior care quality, enhance accessibility and empower...

...this means: Covering services without any limits or need of a prior authorization. This includes services done by out-of-network providers. Using a special claims payment process to make sure providers...

...CareSource Dual Advantage™ (HMO D-SNP) Routine Hearing Test $0 copay, one every year Exam to diagnose and treat hearing and balance issues $0 copay (Cost-sharing for Medicare-covered benefits is based...

...benefits with the CareSource® MyCare Ohio plan, it pays in more ways than one! $287/mo. Healthy Benefit+ Allowance HEALTHY BENEFITS+ DEBIT CARD The Healthy Benefits+ debit card provides all members...

...year with a $0 copay. You get a $4,000 annual allowance for preventive services like oral exams and cleanings plus services like fillings, root canals, dentures and dental implants. Plus,...

...to be in the CareSource nework. Make sure the health care providers you plan to use are in the CareSource network. In most cases, CareSource does not pay for charges...

The frequently asked questions below are intended to help First Tier, Downstream and Related Entities (FDR) understand and manage their compliance efforts. Please click on the expandable menus below to...

...our services and operations. CareSource – An Industry Leader in Operational Excellence CareSource is among the best in the nation at meeting and exceeding state and federal claims payment metrics....

As a CareSource member, you get extra benefits. These are for Georgia Families®, Georgia Pathways to CoverageTM, or PeachCare for Kids®, unless stated. For a full list of benefits and...

...the back of your CareSource member ID card. Need Help Paying for Your Prescription Drugs? If you are in a program that helps pay for your drugs (Extra Help), the...