Register for the Provider Portal

The Provider Portal makes it easier for you to work with us 24/7. It has critical information and tools to save your practice time. This helpful online tool is available for all CareSource Ohio plans.

If you are not already registered for the Provider Portal, please register here.

If you cannot remember your login, please utilize our “Forgot Password” feature to update your information and/or reset your password.

Step-by-Step Guidance:

Register for the Provider Portal
Reset Your Password

 


Browser Requirements for the CareSource Provider Portal

In order to ensure the highest security standards, the platform that CareSource utilizes for sending secure email will be undergoing security enhancements. This change will take effect on June 3, 2018. 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. 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.


Provider Login:
 
 
Forgot password?

MESSAGES


Extended use dates to assist with EpiPen intermittent supply interruptions

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 manufacturer’s labeled expiration date. To help ensure patient safety, these products should have been — and should continue to be — stored as labeled.

Learn more at the FDA website.


Medicaid Pregnancy Risk Assessment Form

CareSource encourages providers to use the Pregnancy Risk Assessment Form (PRAF 2.0) decrease preterm births by facilitating progesterone treatment. Learn more: PRAF Informational Webinar.


Refund Check Requests Address Update

Effective immediately, CareSource has updated the address for refund check submissions. The Claim Recovery Request Form has been created to help ensure timely and accurate processing, and is available to download. Please submit a separate Claim Recovery Request Form for each refund check and include the appropriate required documentation for each submission. Please view the network notification for more information.


Medical and Behavioral Health Coordination

CareSource encourages communication and care coordination between medical and behavioral health providers to achieve optimal health for our members. Communication is necessary to support continuity of care and member safety. To promote safe and effective care coordination, CareSource has provided a Coordination of Health Care Exchange of Information form.


Behavioral Health Redesign Questions?

CareSource has created a Rapid Response Team to help answer your questions regarding Ohio’s Community Behavioral Health Center (CBHC) Behavioral Health Redesign. Leave a message on our dedicated help line at 1-800-488-0134 or email us. We will return your message within 24 business hours, if not sooner. Visit the Behavioral Health page to access resources to help the transition go smoothly.


Inpatient Prior Authorizations – Cite AutoAuth

CareSource is excited to announce additional inpatient prior authorization requests types are now going through Cite AutoAuth. 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.

Benefits include:

  • 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 

Note that you will now see a separate newborn notification tab with the previous functionality.  Additional enhancements for newborn notification will be available in early 2019

What should I include when requesting Prior Authorization?

  • Medical records relating to prior authorization request
  • Diagnosis code
  • Medical history
  • Clinical criteria supporting the prior authorization request

What should I do now?

Continue using the Provider Portal to submit your PA requests.  If you don’t use the portal to submit PA requests yet, we encourage you to start now by clicking on the ‘register here’ link above.  Once you log into the Provider Portal, select “Prior Authorization & Notifications.”

Log into the portal and select Prior Authorization.  Here you will find links to a step-by-step guide, FAQs and MORE!  Everything you need to know on how to get the fastest response to your authorization request!

Email us at CiteAutoAssistance@caresource.com for portal login assistance.  If you have additional questions, please reach out to your CareSource Health Partner representative.


Network Notifications

We want to make it easy for you to stay aware of any changes with CareSource® plans, as well as new processes we create to make doing business with us more efficient.

Network Notifications are published to communicate updates that impact claims, clinical guidelines, Provider Portal functions and more. Click below to see more!


Registration

To register on the Provider Portal, complete the following steps:

  1. Click the Register Here link in red at the top of the Login page.
  2. On the User Registration page, complete the required information, and then click Next. Required fields are marked with a red asterisk.
    • If you are registering as a provider, select Practitioner and complete the information.
      • All your information must match exactly as listed on your Explanation of Benefit (EOB) or welcome letter from CareSource.
      • For your ZIP code, if you have multiple addresses in your profile, any ZIP code from the profile will work.
    • If you are registering as part of a provider group, select Group and complete the information.
      • When you register as a Group, you will have access to all information for all providers listed under the Group Tax ID. Group registration is available for radiologists, anesthesiologists, pathologists, hospitalists, emergency room/urgent care and laboratory providers, as well as facilities, such as hospitals and skilled nursing facilities.
      • 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.
    • Tip – if you are unsure whether you should register as a Practitioner or Group, check your welcome letter from CareSource. If your welcome letter shows you registered under the Group Payee ID, then select Group as the provider type. If the welcome letter shows you registered as an individual, select Practitioner as the provider type.
  3. Confirm the Provider Agreement, and then click Next.
  4. To create your user account, do the following:
    1. Type a User Name that you will use to log in.
    2. Type a Password that you will use to log in. The password must meet the following requirements:
      • Must be a minimum of 12 characters
      • Must contain one lowercase letter, one uppercase letter, one digit and one non-alphanumeric character.
    3. Type the email address that you want associated to your Provider Portal account. The email you enter is used to send your user account activation.
  5. Select a Security Question, and type your Security Answer. Keep this information available, as you may need to answer your security question to confirm your identity when calling for support.
  6. Click Finish Registration. You will receive a confirmation message at the email address you provided during the registration process.
  7. Locate the email in your inbox to activate your Provider Portal account, open it, and then click the Activate Account link. The activation email will come from a sender titled webmaster and will have the subject Activate Your Provider Portal Account.
    • If you do not see the activation email in your Inbox, do one of the following:
      • Check your spam folder.
      • Confirm that you have entered the email you registered with.
    • If you get a message that you are already registered, go to the Provider Login page and log in.
    • 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). This message may occur if the provider is not yet entered into our system (with the Tax ID or CareSource Provider Number you provided).
  8. Locate and open the Email Verification message, and then click Login to access Provider Portal.

Password Reset/Locked Out of Account

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:

  1. Click the Forgot password? link on the login page.
  2. Enter your Username, then click Submit.
  3. Locate the email in your email inbox to reset your Provider Portal password. The reset password email will come from a sender titled webmaster and will have the subject CareSource Provider Portal Password.
    1. If you do not see the email in your inbox, do one of the following:
      1. Check your spam folder.
      2. Confirm you are using the same email address that you registered with.

If your account is locked due to too many login attempts, use the Forgot password? link to reset your password, or you can wait 24 hours and attempt to log in again.