The Provider Portal makes it easier for you to work with us 24/7. It has critical information and tools to save your practice time. This helpful online tool is available for all CareSource Ohio plans.
If you are not already registered for the Provider Portal, please register here. You can refer to the Portal Registration Training Module for step-by-step instructions.
If you have a login but cannot remember your username and/or password, please call the CareSource Provider Services Department at 1-800-488-0134.
In order to use the CareSource Provider Portal, you must use Internet Explorer browser version 8, 9, 10 or 11. We do not support Internet Explorer version 7. You may also use Google Chrome and FireFox browsers.
Cut down on clutter and go green! Register for CareSource Provider E-Communication System and receive relevant and timely information via email. Please register here.
We are pleased to announce as of January 1, 2017, Humana – CareSource and CareSource will be partnering with Novologix to bring you an innovative solution to the way you currently submit prior authorizations (PA). Eligible PA requests will include formulary products that require PA under the Pharmacy benefit. PA submission for formulary products billed under the Medical benefit will also be available early 2017.
Humana – CareSource health partners can click here to learn about benefits and timelines associated with the project.
We want to make it easy for you to stay aware of any changes with CareSource® plans, as well as new processes we create to make doing business with us more efficient.
Network Notifications are published to communicate updates that impact claims, clinical guidelines, Provider Portal functions and more. Click below to see more!
CareSource recently upgraded our online health partner search tool. We have listened to member and health partner feedback to offer a more robust tool that is easier to use. Users can now set search parameters to quickly find practitioners based on name, location, specialty and more! Check out the improvements now by visiting the Find a Doctor/Provider tool.
Effective January 1, 2017, our Marketplace plans will no longer be called “CareSource Just4Me™.” Our product lines now include Medicaid, Medicare Advantage and Marketplace plans.
The Ohio Department of Medicaid (ODM) and the Centers for Medicare & Medicaid Services (CMS) are warning Ohioans, particularly pregnant women and women planning to become pregnant, to avoid traveling to areas of the world with active Zika virus transmission. Click here for more information and Centers of Disease and Prevention (CDC) recommendations.
Additionally, we wanted you to be aware that CareSource, as a Medicaid Managed Care Organization (MCO), fully covers any testing and/or treatment related to the Zika virus on behalf of our members.
Finally, we cover mosquito repellants without a prior authorization for our Medicaid members as long as they have a valid prescription.