Covered Services
CareSource covers the same services as traditional fee-for-service Medicaid. In addition, we cover some adult chiropractic care and private, adult outpatient psychology services. Our members do not have co-payments for services or prescription drugs.
Members can get many services without a referral from their primary care physician (PCP). They can simply call for an appointment. For more information, please click on No Referral Required.
Members must get a referral from their PCP to receive some services. A few services require both a PCP referral and prior authorization from CareSource. For more information, please click on Prior Authorization Required.
CareSource uses Express Scripts for pharmacy benefit management. With pharmacy coordinators on staff to help facilitate services, we pair a clinically sound preferred drug list with a wide network of participating pharmacies. To learn more, please click on Pharmacy.
For more information about referral procedures, prior authorizations, and covered services, including a full Covered Services and Exclusions Grid, please see the Provider Manual.