Member Handbooks and Forms
Care1st members are able to get a member handbook at all times. A new handbook is made every year. You can get a handbook by calling Member Service at 1-866-560-4042 (TTY/TDD: 711) or by downloading a copy below.
- 2024 - Care1st Member Handbook - English (PDF) *New for 2024*
- 2024 - Care1st Member Handbook - Spanish (PDF) *New for 2024*
- 2023 - Care1st Member Handbook - English (PDF)
- 2023 - Care1st Member Handbook - Spanish (PDF)
The Member Handbook contains information that helps you understand how to access your health care services.
The Member Handbook explains:
- How to access services
- Services that are covered
- Services that are not covered
- Special programs
- Prescription information
- Other important benefits
If you have any problems, please call Member Service. You can call the toll free line at 1-866-560-4042 (TTY/TDD: 711). We can give you the facts verbally in English or in your primary language. We can also give you a hard copy in your preferred language. We also help if you are visually or hearing-impaired.
Member Forms
General
- Authorization to Release Record of PHI - English (PDF)
- Authorization to Release Record of PHI - Spanish (PDF)
- Wellness Assessment - English (PDF)
- Wellness Assessment - Spanish (PDF)
Pharmacy
- Care1st Medicaid Prescription Claim Reimbursement Form - English (PDF)
- Care1st Medicaid Prescription Claim Reimbursement Form - Spanish (PDF)
SMI Grievance or Appeal