Services Not Covered

CareSource will not pay for the following services that are not covered by Medicaid:

• All services or supplies that are not medically necessary
• Experimental services and procedures, including drugs and equipment, not covered by Medicaid
• Organ transplants that are not covered by Medicaid
• Abortions except in the case of a reported rape, incest or when medically necessary to save the life of the mother
• Infertility services for males or females, including reversal of voluntary sterilizations
• Voluntary sterilization if legally incapable of consenting to the procedure
• Cosmetic surgery that is not medically necessary
• Inpatient treatment to stop using drugs and/or alcohol (In-patient detoxification services in a general hospital are covered)
• Services for the treatment of obesity unless determined medically necessary
• Inpatient hospital custodial care
• Acupuncture and biofeedback services
• Services to find cause of death (autopsy)
• Comfort items in the hospital (e.g. TV or phone)
• Paternity testing

This is not a complete list of the services that are not covered by Medicaid or CareSource. If you have a question about whether a service is covered, please call the Member Services Department at 1-800-993-0780 (TTY 1-800-750-0750).