Microsoft – CrowdStrike Global Outage

CareSource systems are not impacted by the Microsoft – CrowdStrike global software outage. We are continuing to monitor the situation to assess member and provider impact. Please call us if you have questions.

Contact Us – Providers Contact Us – Members

2024 Provider Satisfaction Survey

Your feedback is important, and we want to hear from you! Starting in May, you might have received an email or phone call from Press Ganey requesting you to fill out the annual Provider Satisfaction Survey. This survey is an opportunity for you to share your thoughts on your experience working with CareSource. Learn more about the Provider Satisfaction Survey here. We look forward to your feedback!

2024 Provider Satisfaction Survey

Your feedback is important, and we want to hear from you! Starting in May, you may receive an email or phone call from Press Ganey requesting you to fill out the annual Provider Satisfaction Survey. This survey is an opportunity for you to share your thoughts on your experience working with CareSource PASSETM. Learn more about the Provider Satisfaction Survey here. We look forward to your feedback!

2024 Provider Satisfaction Survey

Your feedback is important, and we want to hear from you! Starting in May, you may receive an email or phone call from Press Ganey requesting you to fill out the annual Provider Satisfaction Survey. This survey is an opportunity for you to share your thoughts on your experience working with CareSource. Learn more about the Provider Satisfaction Survey here. We look forward to your feedback!

2024 Provider Satisfaction Survey

Your feedback is important, and we want to hear from you! Starting in May, you may receive an email or phone call from Press Ganey requesting you to fill out the annual Provider Satisfaction Survey. This survey is an opportunity for you to share your thoughts on your experience working with CareSource. Learn more about the Provider Satisfaction Survey here. We look forward to your feedback!

GA Medicaid Prior Authorization Requests

For Cardiac and Musculoskeletal procedures, visit TurningPoint’s website at https://www.myturningpoint-healthcare.com/ to enter Prior Authorization requests.

Increasing Focus on Balance Billing Protection for Members

Member Billing Policy, State and federal regulations prohibit providers from billing CareSource D-SNP and Ohio MyCare members for services provided to them except under limited circumstances.

Process for Billing D-SNP Claims:

  1. Bill Member’s CareSource D-SNP ID # as Medicare primary.
  2. Bill Medicaid (fee for service) as secondary because member has $0 cost sharing.
  3. If a member has CareSource Dual Advantage plan AND CareSource MyCare Opt-out, bill CareSource as secondary with that member’s MyCare ID number.

To help reduce the instances of balance billing, remember the following steps:

Network providers may not balance bill CareSource D-SNP members for covered services. If you have questions regarding billing policies, please reach out to your Health Partner Representative or call Provider Services at 1-833-230-2176 for D-SNP or 1-800-488-0134 for Ohio MyCare.

Increasing Focus on Balance Billing Protection for Members

Member Billing Policy, State and federal regulations prohibit providers from billing CareSource D-SNP members for services provided to them except under limited circumstances.

Process for Billing D-SNP Claims:

  1. Bill Member’s CareSource D-SNP ID # as Medicare primary.
  2. Bill Medicaid (fee for service) as secondary because member has $0 cost sharing.

To help reduce the instances of balance billing, remember the following steps:

Network providers may not balance bill CareSource D-SNP members for covered services. If you have questions regarding billing policies, please reach out to your Health Partner Representative or call Provider Services at 1-833-230-2176.

IN MED Member Portal Notification Message

You may have unused babies First® or Kids First rewards that are expiring on June 15th.  Please redeem the rewards on your CareSource OTC card today. Call us with any questions at 1-844-607-2829 (TTY: 711). We are open Monday through Friday, 8 a.m. to 8 p.m., Eastern Time.

Active and Fit Discount Message – Member Portal

NEW!  Active&Fit Direct:  Now even if you didn’t choose a Dental, Vision & Fitness CareSource plan, you can join Active&Fit Direct any time with no contract and you can switch fitness centers or join more than one! Join one by work and one by your home!  Change any time you like. You can use workout videos at home, or even get one-on-one wellness coaching by phone!

To sign up for Active&Fit Direct go to: https://www.activeandfitdirect.com/fitness/AF640027CA.  Get a $0 enrollment fee through September 30 with code SUMMERTIME. It is just $28 monthly.

NOTE: DENTAL, VISION & FITNESS PLAN MEMBERS!  SIGN UP/ACCESS YOUR ACCOUNT THROUGH THE ACTIVE&FIT WEBSITE!