Quick Reference Materials
CareSource wants to equip you to work with our health plan to provide the best service for our members. These materials will help familiarize you with CareSource’s 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:
- Provider Attestation FAQs
- Opioid Tool Kit
- Clinical Practice Registry Guide
- Provider Portal Key Features Overview
- Substance Use Disorder Toolkit
- Depression Toolkit
- Diabetes Quick Reference Guide
Improving Quality Scores
The following resources will help improve your patients’ satisfaction and your quality scores:
- Teleheatlh HEDIS Measure Quick Reference Guide
- 2022-2023 Adult HEDIS Coding Guide
- Patient Quality Experience Guide (CAHPS resource guide)
- 2022-2023 Child and Adolescent HEDIS Coding Guide
- 2022-2023 Behavioral Health HEDIS Coding Guide
- 2022-2023 HEDIS Quality Companion Guide
- CPT II Coding Guide
Clinical Practice Guidelines Resources
CareSource adopts nationally recognized clinical practice and preventive health guidelines from federal agencies and medical professional specialty organizations. A comprehensive list of our Clinical Practice Guidelines is located under the Health Care Links page. In addition, provider resource materials are available for the following Clinical Practice Guidelines.
Telehealth Toolkit
CareSource has developed resources to help you with your telehealth practice. Access the resources below for telehealth-related guidance.
Topics of Interest
Access the following topics to quickly find additional information:
NIA Magellan Imaging Services
CareSource works with NIA Magellan Imaging Services for radiology and imaging services. Please use the following resources to learn more, including how to obtain prior authorization for these services: