Where To Get Care

Primary Medical Provider (PMP)

Use for common sicknesses and tips. You will get most of your preventive care from your PMP. You should see your PMP the most often. This will help them get to know you and your health needs.

Telehealth

Visit with a PMP by phone or computer. Ask them if they offer telehealth. If your PMP is not open or does not offer telehealth, call Teladoc® at 1-800-TELADOC (835-2362) or visit www.Teladoc.com/CareSource. Teladoc is available 24/7/365.

Convenience Clinics

Use for common sickness like coughs, colds, sore throats, and to get shots when you can’t see your PMP. They are found in many local drug and grocery stores, like CVS Minute Clinic® or Kroger Little Clinic®.

Mental Health Care Providers

Get care for mental health and/or substance use problems. If you are having a mental health emergency, call 988 for the Suicide and Crisis Lifeline.

You can also call our Behavioral Health Crisis line at 1-833-227-3464 if you are in crisis. When you call you can speak to a professional with behavioral health training.

Urgent Care

Use to treat non-life threatening issues. When You cannot visit your PMP, and your health issue cannot wait.

Hospital Emergency Department

Use for life-threatening health issues that must be treated right away. Call 911 or go to the nearest ER. 

Some cases of emergencies are:

  • Miscarriage/pregnancy with vaginal bleeding
  • Severe chest pain
  • Loss of consciousness
  • Uncontrolled bleeding
  • Major burns

Call our CareSource24® Nurse Advice Line at 1-844-206-5947 (TTY: 1-800-743-3333 or 711) if you’re not sure where to go for care. Call to talk to a registered nurse. We’re here for you 24 hours a day, 7 days a week.

We have a network of providers. You must get health care services from a provider in our network for us to cover them. The only exceptions are:

  • In cases of emergency
  • If you need medically necessary, covered urgent care services when traveling out of our service area
  • When getting family planning services, from an Indiana Medicaid provider
  • When specifically authorized by CareSource
  • Self-referral services. You can learn more here on page 32.

We want to hear from you! Use this form to share your thoughts. You can tell us about how you think we could make our network better.

When You are Outside of our Service Area

You may want to call your PMP for advice before you go to urgent care. This isn’t required, but it can help you get the right care

If you have other questions about where to get care after hours or outside the service area, refer to your member handbook. You can also call Member Services.

Appointments With Providers

Please set up visits with your doctors as early as you can. You should go to all of your scheduled visits. Call your doctor’s office if you need to change or cancel. Make sure to let them know at least 24 hours before your visit. There are certain time frames for how long it should take you to see a doctor in our network when you set up an appointment. Review the table below for standard time frames.

Type of AppointmentStandard Time Frame
Primary Medical Provider (PMP) Visits:
  • Emergency needs – Immediately when you have emergency symptoms.
  • Urgent care – No longer than 48 hours.
  • Regular and routine care – No longer than 14 calendar days.

Note: You should be seen as quickly as your condition warrants based on how severe your symptoms are. If a doctor can’t see you in the right amount of time, we will help find another doctor in our network or, if needed, a doctor outside the network

Specialists
  • Emergency needs – Immediately when you have emergency symptoms.
  • Urgent care – No longer than 48 hours.
  • Regular and routine care – No longer than 30 calendar days.

Note: You should be seen as quickly as your condition warrants based on how severe your symptoms are. If a doctor can’t see you in the right amount of time, we will help find another doctor in our network or, if needed, a doctor outside the network

Dental Providers
  • For emergency needs – Immediately when you have emergency symptoms.
  • Urgent dental needs – Within 24 hours of the request.
  • Routine care needs – Within 21 calendar days of the request.

In-Network Specialists:

  • Emergency needs – Within 24 to 48 hours of first contact with the dental office.
  • Persistent symptoms – No later than 30 calendar days after the first contact with the dental office.
  • Routine care needs (stable condition) – Within 21 calendar days.
  • Urgent and emergency care heath partners.
Behavioral Health/Substance Use Disorder Providers
  • Emergency needs – Immediately when you have emergency symptoms.
  • Non-life-threatening emergency – No longer than 6 hours.
  • Urgent care – No longer than 48 hours.
  • Initial visit for routine care – No longer than 10 business days.
  • Follow-up routine care – No longer than 30 calendar days based off condition.
  • Follow-up after discharge – Within 7 days from the date of discharge.
Urgent Care Providers

Within 48 hours of contact with urgent care provider.

For urgent dental care needs – Within 48 hours of contact with urgent care provider.

Emergency ProvidersImmediately when you have emergency symptoms (24 hours a day, 7 days a week), and without prior authorization.

Member Services: 1-844-607-2829 (TTY: 1-844-743-3333 or 711), Monday through Friday, 7 a.m. CT/8 a.m. ET to 7 p.m. CT/8 p.m. ET.