CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Services That Require Prior Authorization Please refer to the Procedure Code Lookup Tool to check whether...

...It must be handled by your local DFCS office. Member Services: 1-855-202-0729 (TTY: 711), open Monday through Friday 7 a.m. to 7 p.m. Redetermination Redeterminations of eligibility for the P4HB®...

...of the federal poverty guideline.* Check your eligibility at Low Cost Marketplace Health Care, Qualifying Income Levels | HealthCare.gov. Reporting Changes Eligibility for the tax credit can change throughout the...

...notice. CareSource PASSE™ posts updates through network notifications on the Updates & Announcements page. Please bookmark and check this page often to stay current with all updates. Provider Services If...

...Claims File a Dispute or Appeal Prior Authorization Additional Links Check Eligibility Education Education Learn more about our programs and other topics to assist you with caring for your patients....

...benefits, your enrollment must be in accordance with the plan’s and the Health Insurance Marketplace’s eligibility requirements, as applicable. You must also qualify as a covered person. You must also...

...The Provider Portal lets you verify member eligibility, submit claims electronically, check claim status and more, all in one convenient location. Explore the resources available to you. Provider Communications CareSource...

...has been revised. See notification dated 03/17/2023 02/21/2023 Electronic Data Interchange (EDI) Reminder 02/17/2023 Guidance Regarding 270 Eligibility Inquiry, Claim Submissions and Payer ID 02/13/2023 Next Generation of Ohio Medicaid...

Welcome to CareSource PASSE Our mission is: Putting Members First, Pursuing Better Health Care. Together we can make a lasting difference in the lives of those we serve by improving...

...Provider Portal Submit claims, check claims status, check for known claims processing issues in the Claims Payment Systemic Errors (CPSE) report, review member eligibility, and view payment information. Visit the...