...need prior approval Member Responsibilities As a member of our health plan you must also be sure to: Review your HAP CareSource member materials Make and keep appointments with your...

...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...

...And so much more! *Some services need to be approved before you can get them. This is called prior authorization (pre-authorization). It must be medically necessary for your care. Your...

...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...

...community. With a proven track record of leadership and innovation Holly brings decades of experience in the defense and health information technology sectors to this role. Prior to this role,...

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...

We make it easy for you to request services for your patients. See below for benefit information and instructions to obtain services that enable improved access to care. 9-8-8 Suicide...

...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;...