A new baby is a lot of work! It can all feel overwhelming. Talk with your provider if you have any questions or concerns. We are here for you too....

...connected providers and payers to deliver the best possible outcomes for members. Alongside his dedicated team, he developed several community-based programs and initiatives tailored to members with complex health needs,...

...reward you for participating in CareSource’s quality programs with increasing levels of enhanced payments and shared savings. Review our HEDIS Measures We Partner With Ease We continually work to streamline...

EDUCATION SEMINARS – West Virginia Senate Bill 267 – Prior Authorizations Learn about the prior authorization changes that the West Virginia Senate Bill 267 mandates for providers and payors effective...

...or us to find out if you need an OK to go have services from a provider who is not in your network. CareSource may authorize and pay for out-of-network...

CareSource offers care and disease management programs. These programs can help you learn about your health and how you can better manage your specific health conditions. Our goal is to...

...Request Form – If you think you should get payment or benefits on a certain drug, you can request a coverage determination. Fill out this form: online or hard copy....

...plan documents. Member Handbook: Detailed overview about what the plan covers, how much you pay, and more. Summary of Benefits: Summary of key features about your plan like covered benefits...

...The below is a detailed list of products payable at your local, participating pharmacy. These products are listed in your MyCare Comprehensive Formulary with the abbreviation “ADD”. ADD stands for...

...Online: Life Services Interest Form Need Your GED? CareSource will pay up to $200 toward the cost of GED testing for members or the parents or minor member children. To...