Kids First

Thank you for your interest in the Kids First Program!

Please fill out this form to sign up for the Kids First Program. Once the form has been filled out, we will check your eligibility. Each child must be registered separately. You must be a CareSource member to join the Kids First Program.

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

If you are eligible for this program, a brochure will be sent to you in the mail that explains the program and what you can expect from us.

Thank You.

IN-MMED-2640 Date Issued: 2/19/2019 OMPP Approved: 2/19/2019