Our program is designed to support the care and treatment you provide to our members. We strive to limit the administrative burden while advocating for member access to quality behavioral health care.
Save time. Save money. Use the secure Provider Portal .
This online tool lets you verify member eligibility, submit claims electronically, check claim status and more, all in one convenient location. Explore the resources available to you.
CareSource understands that coordinated care is key to ensuring optimal outcomes for our members. We support behavioral health coordination across all interventions along the continuum of care. Visit these webpages for resources to support coordinated care with a holistic integrated approach.
Coordinating Integrated Care
CareSource understands that coordinated care is key to ensuring optimal outcomes for our members. We ensure that all of our providers have access to behavioral health resources and that behavioral health is integrated across all interventions.
We are committed to zero suicides. Explore our Suicide Prevention Tool Kit for resources to help you integrate suicide prevention strategies into your practice.
And in the battle against opioid abuse, we are taking action. Visit the Opioid Tool Kit for resources to support your practice and encourage best practices in opioid use and pain management.
CareSource is committed to primary-behavioral health integration. We prioritize seamless communication initiated by behavioral health to primary care providers to promote the best outcomes for members. Please use the Coordination of Healthcare Exchange of Information Form when billing for behavioral health services to receive reimbursement for coordination of care.
As a CareSource provider, you can easily access members’ benefits to best serve their needs.
CareSource continually assesses the quality of care and service offered to its members and implements programs to improve operational efficiency, delivery of health care services and health outcomes. We have established a Quality Improvement program to continually help us raise the bar on member care.
Adaptive Behavior Services
Effective Jan. 1, 2018, CareSource includes adaptive behavior services in our Medicaid benefit structure for the managed care population, in collaboration with the Georgia Department of Community Health. We are looking for like-minded providers who will join with us in delivering adaptive behavior services for Medicaid-eligible members under 21 and PeachCare for Kids® eligible members under 19.
Joining our network is easy. To initiate the onboarding process, complete the New Health Partner Contract Form. Be sure to insert contract code 118ASD.
Behavioral Health Homes
CareSource includes behavioral health homes in our network. A behavioral health home is responsible for the integration and coordination of the individual’s health care (physical as well as behavioral health care services). Behavioral health homes do not need to provide all the services themselves, but must ensure that the full array of primary and behavioral health care services is available, integrated and coordinated. CareSource encourages behavioral health homes to communicate and coordinate care with PCPs and medical homes to achieve optimal health for our members.