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 . That means you must get an okay from your PCP before you can receive the service. The PCP will do one of the following:
- Arrange the services for you.
- Give you a written okay to take with you when you get the service.
- Tell you how to get the service.
A few services require both a referral from your PCP and prior authorization from CareSource. This means that your PCP has to okay the service and get an okay from CareSource, too.
You can learn about covered medications by clicking on Pharmacy.
Please click on the links to the left to learn more. You can also learn more by reading your Member Handbook.