...strongly believe in collaboration with our participating providers. As part of our Kansas-based team, you will have a local provider representative to work with you and your staff. Our local...

...your covered services and drugs. We must protect the privacy of your personal health information. We must give you information about the plan, its network of providers, and your covered...

...on the Formulary, you or your provider can request an exception to get it covered. Use the links above to search for your prescriptions to find out what drugs are...

Advance Directives An advance directive is a written record about your future care and treatment. This includes mental health care. It helps your family and providers know your wishes about...

...see your PMP or other provider, they will send a claim to CareSource. CareSource will add the rewards to your OTC card after we get the claim. If you don’t...

...signing up When you have a reason to change, such as: You want to be on the same plan as a family member, You need care or providers that are...

...new Controlled Substance Report (CSR) as an enhanced clinical tool for our providers to help them monitor their prescribing habits. This report is available for participating providers 24/7 through the...

...it is temporary and explaining your options. When you are using a temporary supply of a drug, you should talk with your provider to decide what to do when your...

...other providers and administrative services — in order to continuously improve the quality of care and services provided to its members. NCQA Health Plan Accreditation includes rigorous on-site and off-site...

Abuse is defined as, provider practices that are inconsistent with sound fiscal, business or medical practices, and result in an unnecessary cost to the Medicaid/Medicare program, or in reimbursement for...