If you are not already registered for the Provider Portal, please register here.
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.
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.
The 2015 Ohio Provider Manual is now posted online! The new version includes updates about submitting claims for SNP services provided through December 31, 2014. Access the new manual on our website now and bookmark it for future reference.
Submitting corrected claims electronically results in faster processing and faster payments to you. It also reduces paperwork, cuts costs for printing and mailing and allows you to track the status of claims. Want to learn more? CareSource® Medicaid and CareSource® MyCare Ohio (Medicare-Medicaid Plan) providers, please click here. CareSource Just4Me™ providers, please click here.
Good News! Providers can get faster payments and save time and resources by submitting coordination of benefits (COB) claims electronically. Want to learn more? CareSource® Medicaid and CareSource® MyCare Ohio (Medicare-Medicaid Plan) providers, please click here. CareSource Just4Me™ providers, please click here.
Transition to ICD-10 is less than one year away. You can keep updated with the latest news and information at the CareSource ICD-10 Resource Center. Full implementation takes place on October 1, 2015.
If you are unable to log in to the Provider Portal and access your service plan, use this form to expedite your claims payment. Click here for instructions to complete the form and for a list of valid service codes. After you complete the paper claim form, you may either mail it or fax it for processing:
CareSourceAttn: Claims DepartmentP.O. Box 8730Dayton, OH 45401-8730Fax: 937-224-3388
You will use this paper claim process until you can log in to the Provider Portal and access your service plan. For training on the Provider Portal claims submission process, access the training module below. The MyCare Ohio Provider Portal User Guide provides instructions to log in to the portal and submit claims.
To ensure that we have the most up-to-date service plan for our MyCare members, please fax your service plan to 937-487-0936. This number is only for service plans and NOT claims submissions.
The attached training module provides an overview of the CareSource® MyCare Ohio Service Plan and Claims Submission. Please review the material for a quick training session!