caresource patient portal

How do I get help with the new CareSource portals?

Feb 12, 2022 · My CareSource ® is a secure online account for CareSource ® members. *My CareSource features and experience may vary by plan or program. Not all tools listed will be available to all plan or program participants.

How do I get a CareSource NPI in Ohio?

All Patient Portal users will receive a system generated email invitation to register for the new portal system. Users can only enroll and create an account by accessing the new enrollment email invitation they receive. CONTINUE TO PATIENT PORTAL See our full list of health services by clicking on the link below or call 305-576-1234:

How can I look up drugs for CareSource members?

Feb 15, 2022 · My CareSource Account Use the portal to pay your premium, check your deductible, change your doctor, request an ID Card and more. My CareSource Login NOT A MEMBER? Choose a health insurance plan. Members Members Members Overview Find A Doctor/Provider Renew Your Benefits COVID-19 Resources Contact Us Tools & Resources …

What is the provider portal and how does it work?

Feb 17, 2022 · You can save time and money by completing tasks through the secure, online Provider Portal’s tools. Register Today Registration is quick and easy. You will need your CareSource PASSE™ provider ID, a number separate from your Tax ID number. This number is located on your provider welcome letter. Sign Up today! Registration is quick and easy. You will …

Prior Authorization

View prior authorization requirement and submit authorization requests.

Check Eligibility

Verify patient eligibility for coverage and learn more about health statuses.

Ohio Home Care Waiver Provider Portal Update Reminder

The Ohio Home Care Waiver Program case managed by CareSource has moved to a new system platform on April 1, 2021. The changes have enhanced the individual and provider experience. There will be new individual and provider portals that will look and act differently. Providers can get help by calling Provider Services at 1-800-488-0134.

NPI Needed for Ohio Medicaid and MyCare Waiver Providers

WAIVER Providers must have a National Provider Identifier (NPI) by Oct. 1, 2021 or claims will be denied. For more information, please click here.

Enhancements to Authorization on the Provider Portal

CareSource is excited to announce additional enhancements for the Provider Portal. In addition to initiating your prior authorization request through the provider portal, you can now submit requests to update your authorization requests. For example, you will now be able to add additional documentation or change dates of service.

ICD-10-CM diagnosis coding and Risk Adjustment education sessions and webinars

CareSource has partnered with Pulse8 and we are offering on line ICD-10-CM diagnosis coding and Risk Adjustment education sessions and webinars. The Webinar details:

Payment Review

Payment Review Tool – Use this tool to reference CareSource’s pre- and post-payment review processes and appropriate contacts.

MyCare Waiver Services Prior Authorization Reminder

CareSource would like to remind all MyCare Waiver providers that all waiver codes require a prior authorization. To learn more, view the network notification.

Medicaid Pregnancy Risk Assessment Form

CareSource encourages providers to use the Pregnancy Risk Assessment Form (PRAF 2.0) decrease preterm births by facilitating progesterone treatment. Learn more: PRAF Informational Webinar.

Enhancements to Authorizations on the Provider Portal

CareSource is excited to announce additional enhancements for the Provider Portal. In addition to initiating your prior authorization request through the provider portal, you can now submit requests to update your authorization requests. For example, you will now be able to add additional documentation or change dates of service.

Network Notifications

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.

Extended use dates to assist with EpiPen intermittent supply interruptions

Due to the intermittent supply interruptions of EpiPen, FDA is alerting health care professionals and patients of updated dates through which some EpiPens and the authorized generic version, manufactured by Meridian Medical Technologies, a Pfizer company, may be used beyond the manufacturer’s labeled expiration date.

Medicaid Pregnancy Risk Assessment Form

CareSource encourages providers to use the Pregnancy Risk Assessment Form (PRAF 2.0) decrease preterm births by facilitating progesterone treatment. Learn more: PRAF Informational Webinar.

Refund Check Requests Address Update

Effective immediately, CareSource has updated the address for refund check submissions. The Claim Recovery Request Form has been created to help ensure timely and accurate processing, and is available to download.

Medical and Behavioral Health Coordination

CareSource encourages communication and care coordination between medical and behavioral health providers to achieve optimal health for our members. Communication is necessary to support continuity of care and member safety.

Behavioral Health Redesign Questions?

CareSource has created a Rapid Response Team to help answer your questions regarding Ohio’s Community Behavioral Health Center (CBHC) Behavioral Health Redesign. Leave a message on our dedicated help line at 1-800-488-0134 or email us. We will return your message within 24 business hours, if not sooner.

Network Notifications

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.