CareSource Provider Manual

Indiana

Provider Manual July 2005

NOTE: Our contract with the Indiana Office of Medicaid Policy and Planning expired as of December 31, 2006.  The Provider Manual linked aboved is CareSource's last effective provider manual.  Therefore, some information, like the provider services hours of operation will change effective January 1, 2007, to 10 a.m. to 2 p.m., Monday through Friday.

CareSource will continue to pay provider claims throughout the run out period.  Our claims submission timelines remain the same at 180 days for participating providers and 365 days for non-participating providers.  In addition, CareSource's standard appeals process will remain in place throughout the claims run-out period.  Our current provider manual and other provider forms can be found on this website and will be accessible through the end of 2007.

For assistance with claims issues, please contact:

Provider Services

Hours: 10 a.m. to 2 p.m., Monday – Friday

Phone: 1-866-930-0017

Fax: 1-877-725-4547

Please keep in mind that CareSource is committed to paying claims within prompt pay requirements, and will do so unless additional information is needed to process the claim or the claim involves medical necessity review or coordination of benefits.  Our Coordination of Benefits (COB) unit can be reached by fax at (937) 396-3139 or by e-mail at cobindiana@csmg-online.com.  During the transition period, we will not respond to claims status request for claims less than 45 days old.

We thank you for your partnership with CareSource and wish you the best as you move forward in supporting the Hoosier Healthwise program.