Quick Reference Materials

HAP CareSource wants to equip you to work with our health plan to provide the best service for our members. These materials will help familiarize you with HAP CareSource’s Marketplace plans. You will find key information that will make it easier to do business with us and assist you in serving our members.

Quick Reference Guides

Below you will find quick reference guides and additional resources:

• After-Hours Services Guide (coming soon)
• Navigate Clinical Practice Registry Guide
• Navigate Depression Quick Reference Guide
• Opioid Toolkit (coming soon)
• Provider Attestation FAQs (coming soon)
• Provider Immunization Quick Reference Guide (coming soon)
• Provider Portal Key Features Overview (coming soon)

Improving Quality Scores

The following resources will help improve your patients’ satisfaction and your quality scores:

• 2022-2023 Adult HEDIS Coding Guide (coming soon)
• 2022-2023 Behavioral Health HEDIS Coding Guide (coming soon)
• 2022-2023 Child and Adolescent HEDIS Coding Guide (Revised) (coming soon)
• 2022-2023 HEDIS Quality Companion Guide (coming soon)
• Access and Availability Standards Guide (coming soon)
• Patient Quality Experience Guide (CAHPS Resource Guide) (coming soon)
• Telehealth HEDIS Measure Quick Reference Guide (coming soon)
• 2024 CPT II Coding Guide (coming soon)

Clinical Practice Guidelines 

HAP CareSource adopts nationally recognized clinical practice and preventive health guidelines from federal agencies and medical professional specialty organizations. Access the links below and visit our Health Care Links page for more clinical practice and preventive health guidelines:

• ADHD Clinical Practice Guidelines (coming soon)
• Hypertension Clinical Practice Guidelines (coming soon)

Telehealth Toolkit

HAP CareSource has developed resources to help you with your telehealth practice. Access the resources below for telehealth-related guidance.

• Telehealth HEDIS Measure Quick Reference Guide (coming soon)

Topics of Interest

Access the following topics to quickly find additional information:

• Member Plan Documents

NIA Magellan Imaging Services 

HAP CareSource works with NIA Magellan Imaging Services for radiology and imaging services. Please use the following resources to learn more, including how to obtain prior authorization for these services:

• Frequently Asked Questions (coming soon)
• Ordering Provider Quick Reference Guide (coming soon)
• Rendering Provider Quick Reference Guide (coming soon)
• Utilization Review Matrix (coming soon)