Referrals & Prior Authorization

Some services need to be approved by us before you can get them. Prior authorization is the approval that may be needed before you get a service. It must be medically necessary for your care. Your network provider will get prior authorization for the care you need. Network or in-network means that these providers see CareSource members. Use our Find a Doctor tool to find one near you.

View the full list of services that need prior authorization. Emergency care does not need prior authorization.

Referral means that your provider will request these services for you before you can get them. Your provider will either call and arrange these services for you, give you a written note to take with you, or tell you what to do.

Questions? Call Member Services at 1-800-488-0134 (TTY: 711). We are open Monday through Friday, 7 a.m. to 8 p.m.