-
August 2020 Broker Bulletin
https://www.caresource.com/producers/tools-resources/newsletters/august-2020-broker-bulletin/...Advantage Plan September 16 – Medicare 202 CareSource Dual Special Needs Plan September 23 – Medicare 203 Operating in Connecture and Contracting Each of the WebEx courses will begin at...
-
Accreditations
https://www.caresource.com/about-us/accreditations/...services, which can lead to better care planning and monitoring. We support contracting needs. Standards align with federal requirements for states. CareSource is an NCQA-Accredited organization that demonstrates that we...
-
Behavioral Health
https://www.caresource.com/behavioral-health/...including: Contracting and credentialing Claims processing and payment Referrals and triage Care management Contact Beacon at 1-877-380-9729 to: Verify available behavioral health and substance abuse benefits Seek an appointment Seek...
-
Vendor Compliance FAQ
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/frequently-asked-questions/The frequently asked questions below are intended to help First Tier, Downstream and Related Entities (FDR) understand and manage their compliance efforts. Please click on the expandable menus below to...
-
Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/CareSource wants to equip you to work with our health plan to provide the best service for our members. The following materials will help familiarize you with the CareSource Ohio...
-
Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...page for more information. For ESI network and contracting questions, please contact Express Scripts directly by visiting the ESI Pharmacy Portal or email NetworkCompliance@express-scripts.com. Prior Authorization Some drugs may require...
-
Dental
https://www.caresource.com/providers/education/patient-care/dental/CareSource’s covered routine dental benefits are administered by Delta Dental. Delta Dental Phone: 1-833-778-7003 Routine Dental Providers Please use the Providers Dental Provider Login menu option of the Provider Portal...
-
Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...Dental Provider Relations Representatives available to answer your questions and assist you with navigating any contracting and administrative needs. As part of our “CareSource Provider Network”, this partnership helps us...
-
Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...life. Ensuring a high-quality practitioner and provider network through a comprehensive credentialing, peer review, and contracting process. Seeking to improve member health through the development of targeted innovative initiatives. Ensuring...
-
Patient Care
https://www.caresource.com/providers/education/patient-care/...substance use and co-occurring medical issues. Behavioral Health Contracting, Support & Additional Resources Discover how to receive and be reimbursed for Behavioral Health Carve-In services. Care & Disease Management Learn...
Found 43 results for
contracting