We work with you to help you achieve what matters most. All members get a Care Coordinator. They help you: Schedule provider visits Find providers Understand your benefits Get transportation...

...can learn about your rights under HIPAA and who must follow HIPAA at: https://www.hhs.gov/hipaa/for-individuals/index.html. You can also read FAQs at: https://www.hhs.gov/hipaa/for-individuals/faq/index.html. HIPAA law must be followed by health care providers...

Welcome, Providers, to the Common Ground Healthcare Cooperative Provider Resource Page Common Ground Healthcare Cooperative works collaboratively with providers to ensure that our members receive the highest quality, most cost-effective...

Providers who wish to contract with CareSource® must first be credentialed. Through credentialing, we check the qualifications and performance of physicians and other health care practitioners. Providers are recredentialed a...

...provide a decision no later than 72 hours after the request is received, or within 24 hours if the member is suffering from a serious health condition. Providers may be...

...inpatient care – including skilled nursing facility, acute, inpatient rehabilitation/therapy, long term and respite care Service provided by all out of-network-providers Elective surgeries (outpatient and inpatient) All clinical trials All...

...and more. Get tailored support Find insights based on your needs, so you can make confident decisions about your care. Find providers Search for providers near you. Choose providers based...

...Health Services Administration (SAMSA) The National Domestic Violence Hotline Check and compare quality for hospital providers in your area Join Commission International WCHQ Reports Leapfrog’s Hospital and Surgery Center Ratings...

...use the in-network providers except in emergency or urgent care situations. If you obtain routine care from out-of-network-providers, neither Medicare nor CareSource will be responsible for the costs, unless specifically...

...full list of benefits. 2025 Summary of Benefits ( English) | ( Spanish) Provider/Pharmacy Directory Use these tools to see a list of the providers and pharmacies you can use...