patient login caresource ohio

Is CareSource Medicaid or Medicare?

In 1989, CareSource was founded on the premise of providing quality health care coverage for Medicaid consumers. Today it offers one of the nation’s largest Medicaid managed care plans. CareSource also offers private health insurance plans on the Health Insurance Marketplace, including Medicare Advantage and MyCare Ohio plans.

Is CareSource Medicaid?

DAYTON, Ohio, Feb. 07, 2022 (GLOBE NEWSWIRE) -- CareSource, a nationally recognized nonprofit health plan, announced a sponsorship agreement with Positiv.ly, LLC to support the growth of an app aimed CareSource Invests in Online Mental Health Community and App for High School Students | | djournal.com Skip to main content Sorry, an error occurred.

Is my CareSource active?

Is my CareSource active? Providers may use our secure Provider Portal to check member eligibility. Click “Member Eligibility” on the left, which is the first tab. Or, call our Provider Services department at 1-800-488-0134. Can you enroll in Obama care anytime? You can apply for free or low-cost coverage through Medicaid and CHIP any time ...

What is my CareSource policy number?

Policy number. All health insurance cards should have a policy number. When you get a health insurance policy, that policy has a number. On your card, it is often marked “Policy ID” or “Policy #.” The insurance company uses this number to keep track of your medical bills.

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.

Service Area

CareSource MyCare Ohio is serving people in these Ohio counties: Columbiana, Cuyahoga, Geauga, Lake, Lorain, Medina, Mahoning, Trumbull, Portage, Stark, Summit, Wayne

Eligibility

Those who are eligible for Medicare Parts A & B and Medicaid who live in our service area may join CareSource ® MyCare Ohio. To enroll, call the Ohio Medicaid Consumer Hotline at 1-800-324-8680 (TTY: 1-800-292-3572), or visit www.ohiomh.com and select MyCare Ohio.

Plan Benefits

for BOTH Medicare and Medicaid. With this option, you enjoy the FULL benefit of coordinated care and all the extra benefits in the purple column below.

2021 Medicaid Managed Care Annual Open Enrollment

Beginning September 17, 2021, Ohio Medicaid managed care members will be able to select their plan by calling the Ohio Medicaid Consumer Hotline at 1-800-324-8680 or utilizing the Ohio Medicaid Consumer Hotline Member Portal. You do not have to do anything if you want to keep your current Medicaid Managed Care Plan.

Information for Members

CareSource remains committed to our members and the communities we serve. In response to the growing public health concerns related to the Coronavirus (COVID-19), we have created a resource page to identify your benefit coverage and services offered during this time of need. Click below to visit our COVID-19 Member Resource Page.

Information for Providers

CareSource wants to ensure our providers have easy access to the latest tools and resources regarding COVID-19. Click below to visit our COVID-19 Provider Resource Center.

Are You a Member?

Get quick access to prescription coverage, find a doctor or provider, use health and educational tools, and discover what you can do with your My CareSource ® account.

Are You a Provider?

Review the drug formulary, access manuals and guides, view policies, learn what you can do within the Provider Portal, or find out how to become a CareSource Health Partner.

MEDICAID

We offer no copays, vision and dental care, and a large choice of doctors and hospitals. Our Medicaid plan also offers CareSource24 ®, our 24/7/365 nurse advice line, and Babies First ®, a program that rewards pregnant mothers for healthy habits. Choose CareSource as your Medicaid plan.

MARKETPLACE

Individual and family health insurance coverage. CareSource offers affordable plans on the Health Insurance Marketplace. Members have access to an expanded network of providers, low monthly premiums and generic drug copays starting at $0.

MEDICARE ADVANTAGE WITH PRESCRIPTION DRUG

Plans that provide all of the Medicare benefits for doctors and hospital coverage (Parts A & B), combined with Medicare prescription drug benefits (Part D) and great extras like dental, hearing, vision and fitness!

MEDICARE ADVANTAGE DUAL SPECIAL NEEDS

CareSource offers a Medicare Advantage plan built just for people who qualify for Medicare Parts A & B and full Medicaid benefits. It includes hospital, doctor, drug, dental, vision, hearing, and fitness coverage plus even more!

MYCARE OHIO

MyCare (Medicare-Medicaid Plan) is a health plan that combines both Medicare and Medicaid into a single plan for members who have selected CareSource for Medicare and Medicaid. When you choose CareSource for both Medicare and Medicaid, you will have no copays or premiums for your Medicare or Medicaid benefits.

HOME CARE WAIVER

The Ohio Department of Medicaid (ODM) has contracted with CareSource to manage these waivers in northeast, southeast and central Ohio. The Ohio Home Care Waiver program provides a cost-effective home and community-based service so that you can stay in your home and community.

Why is communication important in healthcare?

Communication is necessary to support continuity of care and member safety. To promote safe and effective care coordination, CareSource has provided a Coordination of Health Care Exchange of Information form.

Does CareSource have prior authorization?

CareSource is excited to announce additional inpatient prior authorization requests types are now going through Cite AutoAuth. You still initiate your authorization requests through the provider portal just like you do today; however the Cite AutoAuth module makes it easier for you to document requests and faster to obtain approvals.