Great News Michigan Providers
Thank you for your participation with CareSource! We are committed to making it easier for you and your staff to work with us by implementing key operational improvements. Improvements include:
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Timely Filing Extended – Timely Filing for appeals has been extended from 90 to 365 days! Medical necessity appeals are extended from 90 to 180 days.
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CareSource Announces Dual Eligible Members – In late 2011, the Michigan Department of Community Health (MDCH) changed its Medicaid health plan enrollment policies to include 160,000 dual eligible members across the state. Dual eligibles are consumers who are eligible for both Medicare and Medicaid. Learn more about provider benefits and member benefits, or ask your provider relations representative what the advantages are for your practice.
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Proactive Coordination of Benefits Policy – CareSource has improved its COB policy to benefit our providers, learn more about how your practice can benefit.
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Updates to our Secure Provider Portal – Recent improvements included member vision history, the ability to check appeal status and search for a claim by check number.
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Clinical Tools Added – The CareSource Member Profile and new Clinical Practice Registry can help you improve patient outcomes. These tools are on our secure provider portal.
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Medical Policies – We’ve added Medical Policies on our website that provide guidance on determining medical necessity and appropriateness of care for a wide range of approved benefits.
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Focus on Participating Hospitals – CareSource recently added a hospital phone queue as part of service operations to improve customer service to our participating hospitals. Simply call 1-800-390-7102.