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.
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.
Effective August 20, 2015, CareSource will require that both electronic and paper corrected claims are submitted with the original claim number for acceptance. In an effort to ensure health partners avoid unnecessary rejections or denials, as well as delays in the processing and payment of corrected claims, we have posted a Network Notification with instructions on how to submit the original claim number by EDI or paper form. Please click here to access the full communication.
Effective July 1, 2015, the Ohio Department of Medicaid implemented new nurse and aide service rates, which impact Ohio Medicaid and MyCare plans. Please click here to access the full communication about the rate changes, new modifiers and new codes.
Health partners now have a new tool to request prior authorizations for some procedures. Use the Cite® Auto Auth tool to input clinical details and receive a decision in just seconds! Learn more with our Network Notification.
Effective May 4, 2015, CareSource is implementing a policy change requiring prior authorization for some interventional pain management procedures and CPAPs for dates of service beginning May 4, 2015. For more information, please read our Network Notification.
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!