Covered Services
CareSource covers all medically necessary Medicaid-covered services. These services are available at no charge to you. You should not be billed for these services. If you receive a bill, please call us.
You can get many services without a referral from your primary care provider (PCP). This means that your PCP does not need to arrange or approve these services for you. Just check your provider directory for a list of participating providers who offer these services and schedule an appointment yourself.
Other services require a referral. This means that your PCP will recommend or request these services for you before you can get them. Your PCP will either call or arrange these services for you, give you written approval to take with you when you get the referred services, or just tell you what to do. In some cases, CareSource may authorize a specialist to make referrals for you.
A few services require both
a referral from your PCP and prior authorization from CareSource before you get them. Your PCP will ask for a prior authorization from us and then schedule these services for you. If you are seeing a specialist, he/she will get approval from your PCP, then your appointment or services will be scheduled.
You can learn about covered medications by clicking on Pharmacy. Or learn more about our Transportation benefit.
Please click on the links to the left to learn more. You can also learn more by reading your Member Handbook.