Tools & Resources
Visit the resources in the table below to help you deliver the best services for our members.
COVID-19 Information
CareSource wants to ensure our providers have easy access to the latest tools and resources regarding COVID-19. Click below to visit our COVID-19 Provider Resource Center.
Gainwell SPBM Unified Preferred Drug List
Look up medications covered through Gainwell SPBM for all Ohio Managed Care members.
Forms
Find forms for contracting, authorization, claim submission and more.
Procedure Code Lookup Tool
Look up CPT and HCPCS codes to determine if prior authorization is required.
Provider Administered Drugs
Look up coverage of medications covered under the medical benefit on the Procedure Lookup tool and review policies on the Pharmacy Policies page
Provider Manual
Find information on policies and programs, as well as claim submission and reimbursement processes, authorizations, member benefits and more.
Provider Policies
View medical, reimbursement, pharmacy and administrative provider policies.
Quick Reference Guides
Access key information to help you work with us.
Request Patient Services
Request interpretation and transportation services for your patients.
Updates & Announcements
Read our network notifications to catch up on the latest news.