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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...with traditional Medicare Providers need to confirm the CareSource MyCare Ohio member’s option for Medicare coverage. Important Tools Provider Portal Member ID Card You can easily verify member eligibility by...
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FAQs
https://www.caresource.com/members/education/faqs/...PCP to another provider up to once a month. Or use the Find A Doctor tool to find all providers in our network. Contact Us How can I contact CareSource?...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...Health Contact Us If you are not finding the information you need or have more questions, please call us. Our Provider Services staff is happy to assist you. CONTACT US...
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Preventive Care
https://www.caresource.com/members/education/preventive-care/...75, get screened for colorectal cancer. Talk with your provider about the best screening for you. If you are younger than 45, your provider may recommend getting screened if you...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...10/15/2025 New Claim Condition Code Requirements 10/15/2025 Audaire Health Provider Portal 10/01/2025 Launch of HealthPlanResources.com 08/19/2025 Provider Portal Service Request Submission Notice 08/14/2025 National Provider Identifier (NPI) for Ordering, Referring...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Non-Participating Providers Prior authorization must be obtained before sending patients to nonparticipating providers, with the following exceptions. Emergency Services All in-patient services require prior authorization. Please call 1-833-230-2101 to obtain...
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Provider Grievances
https://www.caresource.com/providers/provider-portal/provider-grievance/...Grievances via the Provider Portal Fast Facts: Providers have 30 calendar days from the date of the incident to file a provider grievance. CareSource will resolve all provider grievances within...
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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...will review the provider’s request and begin building the provider’s contract. CareSource will coordinate with the CVO to confirm the status of providers who request to enroll with us and...
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Welcome
https://www.caresource.com/providers/welcome/...HAP CareSource MI Coordinated Health Our Provider Manual is a detailed resource for working with us. Or visit our Quick Reference Materials for a variety of resources that make it...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...Acrobat Reader. Provider Manual Macomb Prepaid Inpatient Health Plan (PIHP) Provider Manual Addendum Dental Provider Manual The dental provider manual is a resource for our dental providers and serves as...
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