Care Management Request and Referral Information

HAP CareSource™ Care Coordinator offers members one-on-one care coordination with outreach specialists and nurse care coordinators.

To learn more or connect with Care Coordination, 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 Number:

You can also reach us by calling Member Services at 1-833-230-2053 (TTY: 711), 24 hours a day, seven days a week. We look forward to hearing from you!

MI-MED-M-3567462 MDHHS Approved: 2/12/2025