Quick Reference Materials

The following materials will help familiarize you with CareSource. You will find key information that will make it easier to do business with us and assist you in serving our members.

CareSource Nevada Medicaid Resources  

Clinical Practice Guidelines

CareSource adopts evidence-based, nationally recognized clinical practice and preventive health guidelines from federal agencies, medical professional specialty organizations and chronic health organizations. Visit our Health Care Links page for more clinical practice and preventive health guidelines.

• ADHD Clinical Practice Guidelines (coming soon)
• Hypertension Clinical Guidelines (coming soon)
• Maternal Programs and Prenatal/Postpartum Guidelines (coming soon)

Improving Quality Scores

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

• 2025-2026 HEDIS Provider Reference Guide (coming soon)
• Access and Availability Standards (coming soon)
• CPT II Coding Guide (coming soon)
• Patient Experience Guide (CAHPS Resource Guide) (coming soon)

Evolent Health

We work with Evolent Health for radiology and imaging services. Call 1-866-642-9701 (TDD/TTY: 1-866-753-9424) or visit www.RADMD.com for more information.

Pregnancy Resources

• Pregnancy Risk Assessment (coming soon)
• Completing a Well Visit During a Sick Visit (coming soon)
• Web-Based Pregnancy Risk Assessment Form (coming soon)

Quick Reference Guides

Below you will find quick reference guides and additional resources:

• Navigate Access and Availability Standards
• Navigate Clinical Practice Registry Guide
• Comprehensive Primary Care & Comprehensive Maternal Care Reference Guide (coming soon)
• Navigate Critical Incident Reporting
• Electronic Visit Verification FAQs (coming soon)
• Electronic Visit Verification Requirements (coming soon)
• Health Outcomes Survey Tip Sheet (coming soon)
• Opioid Tool Kit (coming soon)
• Provider Attestation FAQs (coming soon)
• Provider Immunization Quick Reference Guide (coming soon)
• Provider Portal: Assessments and Care Treatment Plans Reference Guide (coming soon)
• Provider Portal Key Features Overview (coming soon)
• Navigate Provider Portal Quick Start Guide 
• Navigate Provider Portal User Guide
• Navigate Quick Start Guide

Topics of Interest

Access the following topics to quickly find additional information:

• Member Plan Documents
• Fair Hearing Plan (coming soon)