Quick Reference Materials

CareSource wants to equip you to work with our health plan to provide the best service for our members. The following materials will help familiarize you with CareSource’s Georgia Marketplace plans. You will find key information that will make it easier to do business with us and assist you in serving our members.

Quick Reference Guides

Below you will find quick reference guides and additional resources:

• Navigate Provider Attestation FAQs
• Navigate Provider Quick Reference Guide
• Opioid Tool Kit
• Navigate Clinical Practice Registry Guide
• Navigate Provider Portal Key Features Overview

Improving Quality Scores

The following resources will help improve your patients’ satisfaction and your quality scores:

• Navigate Access and Availability Standards Guide
• Navigate 2022-2023 Adult HEDIS Coding Guide
• Navigate Patient Quality Experience Guide (CAHPS resource guide)
• Navigate 2022-2023 Child and Adolescent HEDIS Coding Guide
• Navigate Behavioral Health HEDIS Coding Guide
• Navigate HEDIS Quality Companion Guide

Clinical Practice Guidelines

CareSource adopts nationally recognized clinical practice and preventive health guidelines from federal agencies and medical professional specialty organizations. Access the links below and visit our Health Care Links page for more clinical practice and preventive health guidelines:

• Asthma Clinical Practice Guidelines
• ADHD Clinical Practice Guidelines
• Navigate Diabetes Clinical Practice Guidelines
• Navigate Hypertension Clinical Practice Guidelines

Telehealth Toolkit

CareSource has developed resources to help you with your telehealth practice. Access the resources below for telehealth-related guidance.

• Navigate Telehealth HEDIS Measure Quick Reference Guide
• Navigate Telehealth Tip Sheet

Topics of Interest

Access the following topics to quickly find additional information:

• Member Plan Documents
• Fair Hearing Plan