The Claim Recovery Request Form has been created to help ensure timely and accurate processing, and is available to download. For nearly 30 years, CareSource has been headquartered in Dayton, Ohio. * Change your doctor Request a new ID card View claims and plan details Update your contact information And more Login Sign Up Pregnancy Risk Assessment Form (PRAF 2.0), Coordination of Health Care Exchange of Information form, No initial phone call, email or fax is necessary, Ability to upload clinical information at time of initial submission to support request for authorization, Immediate approval or pend status of an authorization, Medical records relating to prior authorization request, Clinical criteria supporting the prior authorization request, If you are registering as a provider, select. The Procedure Code Look Up Tool will also specify if your Care Coordinator needs to be involved in the Prior Authorization submission process. Use the portal to pay your premium, It has critical information and tools to save your practice time. Effective immediately, CareSource has updated the address for refund check submissions. If you do not see the activation email in your Inbox, do one of the following: Confirm that you have entered the email you registered with. Press Escape to collapse the expanded menu item. link to reset your password, or you can wait 24 hours and attempt to log in again. Your Group Name, Tax ID, Provider ID and ZIP Code must match exactly as listed on your Explanation of Benefit (EOB) or welcome letter from CareSource. CareSource is offering plans in Georgia, Indiana, Kentucky and Ohio. Members Members Members Overview Find A Doctor/Provider COVID-19 Resources Contact Us Tools & Resources For your ZIP code, if you have multiple addresses in your profile, any ZIP code from the profile will work. CareSource Provider Overview Provider Portal Provider Portal Prior Authorization View prior authorization requirements and submit authorization requests. For your ZIP code, if you have multiple addresses in your profile, any ZIP code from the profile will work. Before sharing sensitive or personal information, make sure you're on an official state website. To properly route your request, please select the plan you wish to discuss: Georgia Medicaid; For Georgia Marketplace inquiries, please contact Provider Services at 833-230-2155. If you have questions, CareSource is here to help you find answers. Join us and watch your business grow. You can save time and money by completing tasks through the secure, online Provider Portal's tools. This message may occur if the provider is not yet entered into our system (with the Tax ID or CareSource Provider Number you provided). Get the most out of your member experience. To properly route your request, please select the plan you wish to discuss: Georgia Medicaid; For Georgia Marketplace inquiries, please contact Provider Services at 833-230-2155. Get Contracted by following the link below. link to reset your password, or you can wait 24 hours and attempt to log in again. Copyright CareSource 2022. For more information about drugs that require prior authorization, access our Pharmacy webpage. You still initiate your authorization requests through the provider portal just like you do today; however the Cite AutoAuth module makes it easier for you to document requests and faster to obtain approvals. For additional information, including which browsers support TLS 1.2 and a definition of TLS, please view the network notification related to this security enhancement. If you dont use the portal to submit PA requests yet, we encourage you to start now by clicking on the register here link above. Sign Up today! This change will take effect on June 3, 2018. The email you enter is used to send your user account activation. All your information must match exactly as listed on your Explanation of Benefit (EOB) or welcome letter from CareSource. Copyright CareSource 2022. Please submit the Georgia Medicaid National Provider Identifier (NPI) Submittal Form with a copy of the NPI confirmation letter from the NPPES to: Mail: ACS Provider Enrollment Unit. Due to the intermittent supply interruptions of EpiPen, FDA is alerting health care professionals and patients of updated dates through which some EpiPens and the authorized generic version, manufactured by Meridian Medical Technologies, a Pfizer company, may be used beyond the manufacturers labeled expiration date. When you register as a Group, you will have access to all information for all providers listed under the Group Tax ID. Check Enrollment Status. Use the portal to pay your premium, If you are registering as part of a provider group, select. Press Enter again after expanding an item to navigate to that page. The security upgrades will result in the secure email portal only allowing a message recipient to access their messages using browsers that support TLS 1.2 or higher. My CareSource, your personal online account. Effective immediately, CareSource has updated the address for refund check submissions. Locate the email in your inbox to activate your Provider Portal account, open it, and then click the. If you have additional questions, please reach out to your CareSource Health Partner representative. With a regional headquarters located in Atlanta, CareSource is ready to welcome new Georgia members and health providers. If you get a message that you are already registered, go to the, If you get a message that the provider does not exist in Provider Portal, you can call the help line at, Locate the email in your email inbox to reset your Provider Portal password. To learn more about CareSource, call 1-855-202-0729 or visit. If you do not see the email in your inbox, do one of the following: Confirm you are using the same email address that you registered with. Enter your Application ID and NPI to check the status of your enrollment.. All rights reserved. My CareSource Account Access Your My CareSource Account Use the portal to pay your premium, check your deductible, change your doctor, request an ID Card and more. Check out how we've made it easier for you to work with us. Check out how we've made it easier for you to work with us. Get Contracted by following the link below. Visit our Updates & Announcements page. Log into the portal and select Prior Authorization. Verify patient eligibility for coverage and learn more about health statuses. Offices. To register on the Provider Portal, complete the following steps: If you are locked out of your account due to too many incorrect login attempts, or you do not remember your password, you can reset your password by following these steps: If your account is locked due to too many login attempts, use the Forgot password? newwww.caresource.com Our Provider Services department will answer your calls from 8 a.m. to 6 p.m., Monday through Friday. Click belowto see more! All rights reserved. Check out how weve made it easier for you to work with us. Locate the email in your inbox to activate your Provider Portal account, open it, and then click the. Your Group Name, Tax ID, Provider ID and ZIP Code must match exactly as listed on your Explanation of Benefit (EOB) or welcome letter from CareSource. Services That Require Prior Authorization Please refer to the Procedure Code Lookup Tool to check whether a service requires prior authorization. Step-by-Step Guidance: Register for the Provider Portal Reset Your Password MESSAGES Explore Our New Website With Ease At CareSource, we are partnering forward on delivering improvements to your experience. check your deductible, change your State of Georgia government websites and email systems use "georgia.gov" or "ga.gov" at the end of the address. You agree to comply with the Health Insurance Portability and Accountability Act of 1996 and the related regulations, as they may be amended from time to time ("HIPAA") in relation to activities under this Agreement. Vision and Dental Providers. If you are registering as part of a provider group, select. We will return your message within 24 business hours, if not sooner. Caresource medicaid providers ga. NPPES: (800) 465-3203. Local, state, and federal government websites often end in .gov. Copyright CareSource 2022. Email us at CiteAutoAssistance@caresource.comfor portal login assistance. doctor, request an ID Card and more. To properly route your request, please select the plan you wish to discuss: Georgia Medicaid; For Georgia Marketplace inquiries, please contact Provider Services at 833-230-2155. Please submit a separate Claim Recovery Request Form for each refund check and include the appropriate required documentation for each submission. To promote safe and effective care coordination, CareSource has provided a Coordination of Health Care Exchange of Information form. check your deductible, change your please view the network notification related to this security enhancement, If you are registering as a provider, select. If you get a message that the provider does not exist in Provider Portal, you can call the help line at 1-800-488-0134 (Medicaid, Marketplace and MyCare) or 1-844-679-7865 (Medicare Advantage). For all high tech radiology: CT, CTA, MRI, MRA and PET scans; providers should contact NIA or their web portal at www.radmd.com. My CareSource, your personal online account. Network Notifications are published to communicate updates that impact claims, clinical guidelines, Provider Portal functions and more. CareSource encourages communication and care coordination between medical and behavioral health providers to achieve optimal health for our members. Register Today Registration is quick and easy. Due to the intermittent supply interruptions of EpiPen, FDA is alerting health care professionals and patients of updated dates through which some EpiPens and the authorized generic version, manufactured by Meridian Medical Technologies, a Pfizer company, may be used beyond the manufacturers labeled expiration date. Medicare Advantage Enrollment. Not already Contracted to Sell for CareSource? * Change your doctor Request a new ID card View claims and plan details Update your contact information And more Login Sign Up Users - User Login Register for an account The Provider Portal makes it easier for you to work with us 24/7. Get the most out of your member experience. The email you enter is used to send your user account activation. CareSource is excited to announce additional inpatient prior authorization requests types are now going through Cite AutoAuth. My CareSource Login NOT A MEMBER? We want to make it easy for you to stay aware of any changes with CareSourceplans, as well as new processes we create to make doing business with us more efficient. Learn more: PRAF Informational Webinar. Submit claims, find processes and access time-saving tools. Join us and watch your business grow. Users - User Login - CareSource. Stay informed with updates that impact claims, clinical guidelines, Provider Portal functions and more. Join us and watch your business grow. In order to ensure the highest security standards, the platform that CareSource utilizes for sending secure email will be undergoing security enhancements. This number is located on your provider welcome letter. Press Enter again after expanding an item to navigate to that page. Step-by-Step Guidance: Register for the Provider Portal Reset Your Password MESSAGES Explore Our New Website With Ease At CareSource, we are partnering forward on delivering improvements to your experience. We've made changes to our website so you can quickly find what you need. Visit the Behavioral Health page to access resources to help the transition go smoothly. Weve made changes to our website so you can quickly find what you need. View grievance requirements and time frames and submit grievances. At CareSource, we are partnering forward on delivering improvements to your experience. Type the email address that you want associated to your Provider Portal account. All non-par providers and all requests for inpatient services require prior authorization. Please submit a separate Claim Recovery Refund Check Form for each refund check and include the appropriate required documentation for each submission. Go to https://www.caresource.com/providers/contact-us/ Update Your Information Effective Aug. 26, 2019, the Georgia Department of Community Health (DCH) is requiring all demographic changes for Georgia Medicaid providers be made through the GA Medicaid Management Information System (GAMMIS). The Provider Portal makes it easier for you to work with us 24/7. No Warranties Choose a health insurance plan. View prior authorization requirements and submit authorization requests. doctor, request an ID Card and more.

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