...based on established protocols and guidelines. Providers can submit requests by any of the methods identified below. Providers are required to submit pertinent medical/drug history, prior treatment history and any...

...Updates May 2024 05/01/2024 2024 Q2 CareSource Townhall-Ohio Home Health Providers 04/23/2024 2024 Q2 CareSource Live Provider Education and Training Series 04/02/2024 Policy Updates April 2024 04/01/2024 Provider Portal Claim...

...business Corrective action of any identified fraud, waste and/or abuse are available in the provider manual. For provider terminations/suspensions information, see the CareSource Fair Hearing Plan (coming soon). Prohibited Affiliations...

...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...

...credentialing request and provider demographic updates. The PNM module is the single point for providers to complete provider enrollment, centralized credentialing, and provider self-service. The PNM module replaced MITS provider...

We want you to easily find the forms you need for your CareSource plan. Listed below are all the forms you may need as a CareSource member. To see the...

...More Forms Forms Find forms for contracting, authorization, claim submission and more. View Forms Provider Policies Provider Policies View medical, reimbursement, pharmacy and administrative provider policies. Review Policies Quick Reference...

...change my primary care provider (PCP)? My CareSource lets you find and choose a new doctor. You can change your PCP to another provider up to once a month. Or...

...& Well-Being BH Screener CAGE-AID (coming soon) BH Screener PHQ-9 (coming soon) Care and Disease Management Forms Opioid Tool Kit Pregnancy Provider Portal Suicide Prevention Tool Kit Transportation & Interpreter...

...the correct area. Tools & Resources Tools & Resources Provider Portal Provider Portal Provider Resources Provider Resources Forms Forms Updates & Announcements Updates & Announcements Need Assistance? If you have...