...This care could be for mental health and/or substance use needs. This is not a complete list of benefits. You may need approval or prior authorization before getting some of...

...best-in-class achievements to support CareSource’s mission of growth. Prior to joining CareSource, Larry was recently the Senior Vice President and Chief Actuary for WellCare, where he led the actuarial and...

...Treatment and other special outpatient care, home-based care and more. You will need prior authorization for this care. Your provider will get this for you. Care Management Our Care Management...

All CareSource Marketplace members have a monthly premium payment. Topics: What is a premium? What is the Advance Premium Tax Credit (APTC)? When are invoices mailed? What is the Grace...

...company (TrueCare). Staff accept collect calls about UM issues. Staff can answer questions about the UM process. You can call us about: UM for prior authorization (pre-approval) requests Any other...

...communities and individuals who rely upon government programs such as Medicaid, Medicare and Marketplace to access vital health care services. Prior to joining CareSource, Ed has held various Legal and...

...blind and disabled managed care plans and has built both acute and long-term care provider networks, launched new Medicare and Medicaid plans, and developed value-based payment models. Prior to joining...

...hearing exam a check of shot records other tests as needed *Some of these tests and treatment services may require approval or prior authorization from your child’s provider. Moms should...

...individuals with complex medical and social needs through access to high-quality, comprehensive care. Prior to her current role, Dr. Wright was chief medical officer for CareSource Indiana. She was instrumental...

...chewing tobacco, cigarettes, cigars, pipes, hookah or snuff four or more times a week over the prior six months. How does the state or CareSource know if a member is...