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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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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/...provider costs and cost shares. Provider costs. We work with providers to agree on an overall cost for services. Overall cost considers the place (ER, office, clinic) and the cost...
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Health and Social Partnerships
https://www.caresource.com/providers/education/health-equity/Our Commitment We are committed to improving our beneficiaries’ health by removing barriers to care and working with our community partners and providers to drive meaningful change. Provider Responsibilities Providers...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/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...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...Prescribing Providers 06/10/2026 Update to High Dollar Claims 06/05/2026 Prior Authorization Requirement Update 06/04/2026 Requirements to Enroll Providers in PNM 06/03/2026 Pharmacy Policy Updates June 2026 06/01/2026 Evolent Healthcare Advanced...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...and Claims Quick Reference Guide ODM Telehealth Billing Provider Reference Guide Opioid Tool Kit Provider Attestation FAQs Provider Immunization Guide Provider Portal: Assessments and Care Treatment Plans Reference Guide Provider...
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Preventive Care
https://www.caresource.com/members/education/preventive-care/...younger and have certain other conditions your provider may recommend it. Shingles Vaccine: If you are older than 50, talk with your provider about getting the shingles vaccine. Those with...
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Contact Us
https://www.caresource.com/providers/contact-us/...day. Provider Portal Do business with us online any time of the day or night with our Provider Portal. You can use the Provider Portal to check: Claims Prior authorization...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...of the determination. Access to Staff Providers may call our toll free number at 1-800-488-0134 to contact Medical Management staff with any UM questions. Providers may call our toll-free number...
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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...Affordable Quality Healthcare (CAQH) application to be submitted. Please provide your CAQH number and National Provider Identifier (NPI) number to CareSource. CareSource credentials providers using guidelines from the Department of...
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