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Provider Manual and Materials

CareSource has many materials for providers. These are listed below. Please click on the link to open the item. Each item will open in PDF.


Reference Documents 
2008 Synagis Webinar - 09/24/08
Provider Manual

Preferred Drug List
List of Services That Require Prior Authorization

Preventive Health Guidelines
CareSource Corporate Compliance Plan


Provider Forms 
Prior Authorization Request Form 
Non-Formulary Drug Prior Auth Form
Synagis Prior Authorization Request Form  (paper form)
Provider Profile Form
Fraud, Waste, and Abuse Reporting Form
Acknowledgement of Receipt of Hysterectomy
Maternal Support Services Risk Screening Tool
Provider Claim Research Request
Informed Consent Form for Sterilization


ProviderSource Newsletters
Fall 2008 
Summer 2008
Spring 2008
Winter 2007
Summer 2007



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This page was last updated on 12/11/2008