CareSource® covers both musculoskeletal and cardiac surgeries for our members. Orthopedic, Neuro-Spine and Cardiac providers can access the following tools to help them provide efficient and quality care. Policies Providers...

...Learn about nutrition and wellness Help you find an appropriate provider Report Fraud, Waste & Abuse CareSource has a program for handling cases of health care fraud, waste and abuse....

...select “Provider Maintenance” from the navigation. Incident Reporting Form Incident Report Form To report incidents, HCBS and PRTF providers should utilize the DHS DDS Incident Reporting Portal online, if they...

cdmvheart Care Coordination What is a care coordinator? A care coordinator will connect you and your family with community support. They coordinate the services you are already getting and any...

...To support you, we will be rewarding you $20 for each flu shot you administer to CareSource patients in your practice! FIND OUT MORE We encourage providers to access the...

...support our providers’ and community partners’ ability to deliver effective and appropriate care, helping us reach our goal to reduce and ultimately eliminate the barriers in health care access and...

...Provider Network Management (PNM): Access information related to the PNM Portal for additional support. Visit PNM Portal Important Note: Dates for the prior authorization function have not yet been determined....

...scott.french@agentpipeline.com Agility Insurance Services Phone number: (866) 590-9771 Visit Broker Website E-mail: Support@enrollinsurance.com Aspire Benefits Phone number: (614) 353-3034 Visit Broker Website E-mail: hughbwhite@aspirebenefits.com Associated Underwriters Insurance Phone number: (330)...

...a lot of time, effort, and work. We want to make it easier.Your loved one’s Care Manager is a great resource. They can help find support like in-home care, Meals...

Our Quality Improvement (QI) Program is designed to ensure the organization delivers on all aspects of care delivery for beneficiaries based on their unique needs. We monitor, analyze and identify...