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 the CareSource Ohio Medicaid plan. 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:
- Next Generation Managed Care: Prior Authorization and Claims Quick Reference Guide
- Provider Attestation FAQs
- Provider Immunization Guide
- Provider Portal: Assessments and Care Treatment Plans Reference Guide
- Opioid Tool Kit
- Comprehensive Primary Care Reference Guide
- Clinical Practice Registry Guide
- Provider Portal Key Features Overview
Pregnancy & Child Resources
- PRAF 2.0, Efforts to Reduce Premature Births and Progesterone
- Progesterone Project
- Progesterone Messaging Toolkit
- Web-Based Pregnancy Risk Assessment Form – Providers are encouraged to complete and submit this form to assist pregnant women in maintaining Medicaid eligibility and connecting to needed services
- Preventing Preterm Birth: A Guide for Pregnant Women
- Completing a Well Visit during a Sick Visit
Improving Quality Scores
The following resources will help improve your patients’ satisfaction and your quality scores:
- 2022-2023 Adult HEDIS Coding Guide
- 2022-2023 Child and Adolescent HEDIS Coding Guide
- Patient Experience Guide (CAHPS resource guide)
- 2022-2023 Behavioral Health HEDIS Coding Guide
- 2022-2023 HEDIS Quality Companion Guide
- Access and Availability Standards
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:
- ADHD Clinical Practice Guidelines
- Asthma Clinical Practice Guidelines
- Depression Clinical Practice Guidelines
- Diabetes Clinical Practice Guidelines
- Hypertension Clinical Practice Guidelines
- Maternal Programs and Prenatal/Postpartum Guidelines
Telehealth Toolkit
CareSource has developed resources to help you with your telehealth practice. Access the resources below for telehealth-related guidance.