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 January 1, 2017, our Marketplace plans will no longer be called “CareSource Just4Me™.” Our product lines now include Medicaid, Medicare Advantage and Marketplace plans.
Checking your patient’s blood pressure regularly is important. In addition, encourage them to fight high blood pressure by:
The member’s medical record should include the following:
We value your partnership in improving the health and care for our members
CareSource is excited to announce that the integration of Cite AutoAuth into our inpatient prior authorization process is NOW LIVE! You will still initiate your authorization requests through the provider portal just like you do today; however, the Cite AutoAuth module will make it easier for you to document requests and faster to obtain approvals. Get started today! View the network notification for more information.
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.
CareSource wants you to know about these updates to make the claims submission process for waiver services easier:
These new updates are effective as of 03/24/16. To learn more about these enhancements, view the Waiver Services Claim Entry and Service Plan Training Presentation.
In a network notification dated December 31, 2015, CareSource indicated that upcoming changes to Medicaid claim submissions with EPSDT referral indicators would go into effect on claims received after January 31, 2016.
However, in order to ensure all health partners have ample time to understand and implement any necessary changes in claim submission guidelines, we are extending the deadline. We will announce the new effective date in a future network notification. Please check the Ohio Medicaid Updates/Announcements webpage frequently for educational resources on EPSDT claim guidelines.
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.