...operational and membership targets, improving customer satisfaction ratings, and enhancing quality and HEDIS results. Prior to joining CareSource in 2016, Mike held a number of executive roles for other health...

...We prioritize people over profits, channeling resources back into members, providers, communities, and employees. For more information, take a look at our Partner with Purpose contracting brochure. This resource reviews...

...professionals and facilities The billing and payment of your claims The review of your health care and use of benefits The prior authorization of your requested services Data exchanged for...

...in information technology which has improved the accessibility of technology within the health care industry to increase company agility. Prior to joining CareSource, she worked for Blue Shield of California,...

...a exam. Make sure to ask for a Healthchek exam when you call. Some of the tests and treatment services may need prior authorization. Mothers should have prenatal exams and...

In 2021, we launched a new initiative to recognize organizations and programs that make significant impacts on communities’ toughest health issues. Through the CareSource Grant Challenge, we hope to inspire...

...President of CareSource’s Arkansas Market, CareSource PASSE™. Prior to joining CareSource, David served as the Executive Director of the New Hampshire Medicaid plan with WellSense Health Plan where he led...

...exam, cleaning, fluoride treatments and dental implants. *Prior Authorization required. Vision Benefits No cost routine eye exam. Routine Exam, Eyeglasses are covered: Age 21-59 – 1 pair every 2 years;...

We are excited to welcome you as a CareSource member and introduce some of the programs and tools that make CareSource more than just health insurance. We are Health Care...

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...