Training & Events
We encourage providers to access the available education and training below to learn more about CareSource and topics related to your practice.
Provider Attestation Education Form: Use this form to provide attestation of completing education requirements.
The Office of the Inspector General (OIG) has created free educational materials to assist in teaching physicians about the federal laws designed to protect Medicaid and Medicare programs and program beneficiaries from fraud, waste and abuse.
CareSource members rely on all of us to deliver the right care at the right time. Through the Access and Availability Audit, CareSource can measure if members are able to access their provider as needed.
This edition of the Provider Education Series presents information on the CareSource provider portal. Please view the presentation to learn more about our portal’s functionality and how to work with us through the portal’s many self-service features.
Provider Portal Key Features OverviewThis presentation provides an overview of Access & Availability. Discover what it is, how it’s measured, what happens in the event of an audit and more.
Join us on June 20, 2024, for an informative webinar to delve into Tuesday Health’s new supportive care program offered in partnership with CareSource for MyCare Ohio members. Tuesday Health aims to alleviate symptoms and stress associated with serious illness, enhancing the quality of life for patients and their families.
Register for the Tuesday Health Provider Introduction Webinar
Federal regulations, as well as the Medicaid Addendum of executed contracts with CareSource prohibit balance billing. View this presentation to learn more about balance billing MyCare members.
Use of the CareSource Provider Portal to submit prior authorization requests ensures that CareSource receives all necessary information to review a request. This edition of the Provider Education Series instructs the viewer on the use of the Procedure Lookup Tool, prior authorization submission process via the Provider Portal, and how to check case status.
CareSource MyCare Provider Model of Care Training
The Centers for Medicare & Medicaid Services (CMS) requires MyCare Ohio plans to provide initial and annual Model of Care (MOC) training to all network providers contracted to see dual-eligible members and all out-of-network providers seen by dual-eligible members routinely. CareSource offers a slide deck that reviews that Model of Care. Please access the link to view the Model of Care training.
Important Note: CareSource MyCare providers are required by CMS to attest to completing the annual Model of Care training. Please complete the Attestation Form located at the end of the training presentation to receive credit for completing the Model of Care training.
CareSource members rely on us and our provider partners to deliver the right care at the right time. View this presentation to learn about the NCQA Access & Availability standards and related CAHPS survey questions.
Both “assignment” and “attribution” refer to the association between members and providers, but the terms are not interchangeable. CareSource has prepared this summary document to define these terms and describe the attribution process.
CareSource annually surveys members and providers to measure health-plan performance. This module of the Provider Education Series provides an overview of the Provider Satisfaction Survey. Watch the video to learn about the survey and how CareSource uses the results to improve performance and relationships with our providers.
At CareSource, we work with our healthcare providers to ensure the highest quality of care for our members, and we are committed to making it easy for you and your staff to do business with us. This module of the Provider Education Series shares CareSource’s philosophy, product offerings, and process for becoming a new CareSource Health Partner.
CareSource is committed to a seamless and expedient credentialing and re-credentialing process. In this module of the Provider Education Series, we will cover credentialing requirements, and best practices for submitting the required documentation to CareSource.
This module of the Provider Education Series builds upon the content presented in the Provider Portal Introduction. You will learn how to locate, view, and acknowledge waiver service plans, as well as how to submit waiver claims.
View the Service Plan Training