Care Management Request and Referral Information

CareSource^® Care Management offers members one-on-one care coordination with outreach specialists and nurse care coordinators.

To learn more or connect with Care Management, please fill out the form below.

First Name:

Last Name:

Member ID:

This number is found on the front of your Member ID Card.

Date of Birth:

Phone:

You can also reach us by calling Member Services at 1-833-230-2099 (TTY: 1-833-711-4711 or 711), Monday – Friday 7 a.m. – 7 p.m. We look forward to hearing from you!

GA-MED-M-474762 DCH Approved: 04/29/2021