...Next Generation Managed Care: Prior Authorization and Claims Quick Reference Guide ODM Telehealth Billing Provider Reference Guide Opioid Tool Kit Provider Attestation FAQs Provider Immunization Guide Provider Portal: Assessments and...

...Recovery Overpayment Recovery Oxygen Delivery Systems & Supplies P Pass-Through Billing Payment to Out of Network Providers Payment to Out of Network Providers Payment to Out of Network Providers Payments...

...Guides CareSource is committed to primary-behavioral health integration. We prioritize seamless communication initiated by behavioral health to primary care providers to promote the best outcomes for members. Please use the...

...Providers may not charge members for services which CareSource PASSE™ denied based on lack of medical necessity or lack of compliance to contractual terms. Providers may not bill members for...

...for your patients. Primary Care Provider Roles & Responsibilities Review the roles and responsibilities that are expected of a CareSource primary care provider. Utilization Management View our utilization management activities...

...allowed for the non-participating health partner to transfer care to the network primary care provider. The provider will have to provide evidence of the authorization of the services from GAMMIS...

...use an in-network Primary Care Provider (PCP) Use our Find A Doctor tool. You can select a doctor from our network by visiting CareSource.com/marketplace. Select Find A Doctor from the...

...you need 24 hours a day, 7 days a week, 365 days a year. We can help you: Learn about a health problem. Decide when a visit to a provider,...

...Quit Now program has FREE materials for providers to display at their location: Link to enroll as a Preferred Provider: Preferred Provider Enrollment Form Link to order Quitline materials: Education...

CareSource® offers care coordination that can provide a broad spectrum of educational and follow-up services for your patients. You can access care plans online through the provider portal to easily...