...registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Program Purpose The purpose of the CareSource® Quality Management and Performance Improvement program is to ensure that CareSource has...

...to measure their impact on member health outcomes. Review and approval of the guidelines are completed by the Market CareSource PASSE Provider Advisory Committee (PAC). The CareSource PASSE Enterprise PAC...

...will be returned with no action taken. Claim disputes can be submitted to CareSource through the following methods: Provider Portal Fax: 937-531-2398 Mail: CareSource Attn: Provider Appeals P.O. Box 1947...

...started again. CareSource continues to watch COVID-19 federal and state guidance. We will keep you informed of any changes that could affect your health care coverage. COVID-19 Public Health Emergency...

...care treatment plans and notifying CareSource of members who may benefit from care coordination. In addition, CareSource PCPs play an integral part in coordinating health care for our members by...

...member. Get a CareSource member ID Card, Plan Documents or Change Your Doctor How do I get a new CareSource member ID card? Log into your My CareSource account to...

...the claim as if CareSource was the primary payer. Once the delivery charge is received, CareSource will combine all prenatal visit charges with the delivery charges. CareSource will subtract the...

...how to work with CareSource. Welcome to the CareSource network! Once you receive your Welcome Letter from CareSource with your CareSource ID number, you have completed the contracting and credentialing...

...CareSource complies with all Center of Medicare and Medicaid Services (CMS) payment policies and National Coverage Determinations (NCDs). In the absence of a NCD, CareSource follows the applicable Local Coverage...

...the care you need. You can learn more about our Access Plan by visiting www.caresource.com/WV/AccessPlan. Your Primary Care Provider (PCP) You must choose a PCP who is a network provider....