Patient Care
At CareSource®, everything we do is centered on improving the lives of our members – your patients.
HEDIS® Measure Materials
The following resources will help improve your patients’ satisfaction and your quality scores:
Additional Resources
Our Patient Care webpages provide information and resources that help us work together to provide the best care for our members.
Find behavioral health resources for patients with mental health, substance use and co-occurring medical issues. | Learn how our care and disease management programs can help those experiencing complex physical health, behavioral health, or psychosocial conditions. | Access dental resources and dental benefit information. |
Reference nationally recognized clinical practice and preventive health guidelines from CareSource. | Human Papillova Virus (HPV) Education Letter Discover the importance of vaccinating adolescents against HPV and how to reduce the cancer burden in Indiana through increased prevention. | Access the administrative procedures you need to provide patient care. |
Learn about covered drugs, specialty medications, prior authorization and more about prescribing medications for your patients. | Primary Care Provider Roles & Responsibilities Review the roles and responsibilities that are expected of a CareSource primary care provider. | View our utilization management activities including prior authorization, concurrent review, discharge planning and other activities. |
Right Choices Program (RCP)
The RCP monitors utilization of Indiana Medicaid members who have been identified as over-utilizing or inappropriately using Medicaid services. The goal of the RCP is to provide quality health care through education and intervention that includes restrictions to specific physicians and pharmacy providers (lock-in providers).
If you would like to refer someone to be considered for the RCP, please email the lockin program and provide the following information:
- Member’s name
- Member’s date of birth
- Member’s CareSource ID number