Quick Reference Materials
CareSource wants to equip you to work with our health plan to provide the best service for our members. You will find key information that will make it easier for you 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: | Improving Quality Scores The following resources will help improve your patients’ satisfaction and your quality scores: |
|---|---|
| Clinical Practice Registry Guide | CPT II Coding Guide |
| Diabetes Quick Reference Guide | 2022-2023 Adult HEDIS Coding Guide |
| Health Outcomes Survey Tip Sheet | Patient Experience Guide (CAHPS resource guide) |
| Provider Attestation FAQs | Behavioral Health HEDIS Coding Guide |
| Provider Portal Key Features Overview | HEDIS Quality Companion Guide |
| Provider Quick Reference Guide |
Clinical Practice Guideline Reference Materials
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:
Additional Reference Materials
| Telehealth Toolkit CareSource has developed resources to help you with your telehealth practice. Access the resources below for telehealth-related guidance. | Topics of Interest |
|---|---|
| Telehealth HEDIS Measure Quick Reference Guide | |
| Telehealth Tip Sheet |
NIA Magellan Imaging Services
CareSource works with NIA Magellan Imaging Services for radiology and imaging services. Prior authorization is required for CT/CTA scans, MRI/MRA scans and PET scans.
Prior authorization may be requested online or by calling 1-800-424-1741.
Please use the following resources to learn more, including how to obtain prior authorization for these services: