IN-Multi-M-3153701 ASD Parent Series – Web Banner

Are you a parent of a child with autism?
Join us for a resource and educational group on the 3rd Wednesday of the month from 4:00-5:00pm EST starting in September.
Email CSParentSeries@caresource.com to learn more and sign-up.

Microsoft – CrowdStrike Global Outage

CareSource systems are not impacted by the Microsoft – CrowdStrike global software outage. We are continuing to monitor the situation to assess member and provider impact. Please call us if you have questions.

Contact Us – Providers Contact Us – Members

Microsoft – CrowdStrike Global Outage

CareSource systems are not impacted by the Microsoft – CrowdStrike global software outage. We are continuing to monitor the situation to assess member and provider impact. Please call us if you have questions.

Contact Us – Providers Contact Us – Members

2024 Provider Satisfaction Survey

Your feedback is important, and we want to hear from you! Starting in May, you might have received an email or phone call from Press Ganey requesting you to fill out the annual Provider Satisfaction Survey. This survey is an opportunity for you to share your thoughts on your experience working with CareSource. Learn more about the Provider Satisfaction Survey here. We look forward to your feedback!

2024 Provider Satisfaction Survey

Your feedback is important, and we want to hear from you! Starting in May, you may receive an email or phone call from Press Ganey requesting you to fill out the annual Provider Satisfaction Survey. This survey is an opportunity for you to share your thoughts on your experience working with CareSource PASSE^TM. Learn more about the Provider Satisfaction Survey here. We look forward to your feedback!

2024 Provider Satisfaction Survey

Your feedback is important, and we want to hear from you! Starting in May, you may receive an email or phone call from Press Ganey requesting you to fill out the annual Provider Satisfaction Survey. This survey is an opportunity for you to share your thoughts on your experience working with CareSource. Learn more about the Provider Satisfaction Survey here. We look forward to your feedback!

2024 Provider Satisfaction Survey

Your feedback is important, and we want to hear from you! Starting in May, you may receive an email or phone call from Press Ganey requesting you to fill out the annual Provider Satisfaction Survey. This survey is an opportunity for you to share your thoughts on your experience working with CareSource. Learn more about the Provider Satisfaction Survey here. We look forward to your feedback!

GA Medicaid Prior Authorization Requests

For Cardiac and Musculoskeletal procedures, visit TurningPoint’s website at https://www.myturningpoint-healthcare.com/ to enter Prior Authorization requests.

Increasing Focus on Balance Billing Protection for Members

Member Billing Policy, State and federal regulations prohibit providers from billing CareSource D-SNP and Ohio MyCare members for services provided to them except under limited circumstances.

Process for Billing D-SNP Claims:

1. Bill Member’s CareSource D-SNP ID # as Medicare primary.
2. Bill Medicaid (fee for service) as secondary because member has $0 cost sharing.
3. If a member has CareSource Dual Advantage plan AND CareSource MyCare Opt-out, bill CareSource as secondary with that member’s MyCare ID number.

To help reduce the instances of balance billing, remember the following steps:

• Ask to see the member’s insurance cards at every visit and confirm the correct insurance is on file.
• Verify a member’s eligibility prior to each visit.
• Be sure to check for a member’s enrollment in D-SNP.
• Ensure your billing system is set up to process a secondary carrier prior to sending out a bill.

Network providers may not balance bill CareSource D-SNP members for covered services. If you have questions regarding billing policies, please reach out to your Health Partner Representative or call Provider Services at 1-833-230-2176 for D-SNP or 1-800-488-0134 for Ohio MyCare.

Increasing Focus on Balance Billing Protection for Members

Member Billing Policy, State and federal regulations prohibit providers from billing CareSource D-SNP members for services provided to them except under limited circumstances.

Process for Billing D-SNP Claims:

1. Bill Member’s CareSource D-SNP ID # as Medicare primary.
2. Bill Medicaid (fee for service) as secondary because member has $0 cost sharing.

To help reduce the instances of balance billing, remember the following steps:

• Ask to see the member’s insurance cards at every visit and confirm the correct insurance is on file.
• Verify a member’s eligibility prior to each visit.
• Be sure to check for a member’s enrollment in D-SNP.
• Ensure your billing system is set up to process a secondary carrier prior to sending out a bill.

Network providers may not balance bill CareSource D-SNP members for covered services. If you have questions regarding billing policies, please reach out to your Health Partner Representative or call Provider Services at 1-833-230-2176.

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