Behavioral Health Carve-In
CareSource is here to support you during the transition to Behavioral Health Carve-In. Find valuable information on a variety of topics, including:
- Updating your provider roster
- Claims testing
- How to contact us with Carve In questions
- Carve In Resources
Reviewing your provider roster will help CareSource make updates.
Email your roster to ProviderMaintenance@caresource.com.
Your roster should contain:
- Group information: Tax ID, Tax ID, Medicaid ID, Group NPI, Group Name, Mental Health or Substance Use Disorder, City, State, Zip
- Practitioner information: Medicaid ID, NPI, Last Name, First Name, Type and Specialty
- Inclusion of multiple or DBA (doing business as) names, if applicable
- Additional location information
Once CareSource reviews your roster, we will email our findings to you.
Testing is a great way to ensure a smooth start to your onboarding with CareSource! We will continue to support requests for our behavioral health providers beyond the July the 1 go-live date.
Please complete the steps below to initiate testing with us:
- Establish clearinghouse connections.
- Create a test claims file.
- Complete test coordination questions. Please follow the detailed instructions provided on the CareSource CareSource Testing Coordination Question form
- Notify CareSource of your test submission by emailing OhioBHInfo@caresource.com.
Once CareSource completes testing, we will email our findings to you.
We are excited to partner with you. To start the contracting process, please complete the following.
- Visit Become a CareSource Provider
- Complete the New Health Partner Contract Form.
- Need help? Refer to the User’s Guide for Completing the New Health Partner Contract Form.
You will need your CAQH ID number, Tax ID number, NPI number, name, specialty and W9 to complete the form.
|Continuity of Care PeriodAll managed care plans have extended the Continuity of Care period to the end of 2018. All claims will be reimbursed at participating rates during this time frame. We encourage all providers to contract with CareSource to continue receiving participating provider rates beyond the Continuity of Care time period.|
CareSource is available to assist with your transition to managed care.
Call CareSource at 1-800-488-0134 if you have questions about our plan. We are available Monday to Friday, 7 a.m. to 7 p.m.
Exciting news: CareSource has dedicated behavioral health service representatives available to answer your questions about benefits, claims, member eligibility and more.
Talk to Us Live at Weekly Forums
CareSource hosts a weekly forum to answer your questions related to Behavioral Health Redesign.
Forums are held every Wednesday from 3 to 4 p.m.
Register: OhioBHInfo@caresource.com to request registration information. Please include your organization name, your agency NPI(s) and the names and email addresses of the individuals who will attend.
Submit claims, check claims status, review member eligibility and view payment information.
- Visit the Provider Portal to get started.
- Note: you will need a CareSource ID number to register.
- Need help? View the Provider Portal Registration Training Module.
Submit the universal Ohio Association of Health Plans form to request prior authorization for outpatient behavioral health services.
Ohio Urine Drug Screen Prior Authorization Form – Submit this form to request prior authorization for urine drug screening for Ohio Medicaid patients with a substance use disorder.
MyCare and Medicaid Outpatient Hospital Benefit Grid – Use this benefit grid to understand the hospital covered services for behavioral health services.
MyCare and Medicaid CBHC (Community BH Centers) Benefit Grid – Use this benefit grid to understand the community behavioral health center covered services for behavioral health services.
MyCare and Medicaid Opioid Treatment Programs (OTP) Benefit Grid– Use this benefit grid to understand the Ohio Department of Medicaid (ODM) and Mental Health and Addiction Services (Ohio MHAS) Opioid Treatment Program (OTP) Medicaid covered services for providers already enrolled as a provider type 95 (community substance use disorder program) with provider specialty 950 AND either licensed by OhioMHAS as a methadone treatment administration program (provider specialty 951) AND/OR certified by the Substance Abuse and Mental Health Services Administration (SAMHSA) as an OTP (provider speciality 953) may request the addition of a provider specialty for methadone administration and/or buprenorphine based medication administration.
MyCare and Medicaid Group Medical Practices Benefit Grid – Use this benefit grid to understand the covered services for behavioral health services provided by Group Medical Practices.
MyCare and Medicaid Specialized Recovery Services (SRS) Benefit Grid – Use this benefit grid to understand the covered services for Specialized Recovery Services (SRS) Program [1915(i)]. The SRS program is available to individuals who meet certain financial criteria and have been diagnosed with a serious and persistent mental illness (SPMI). Individual eligibility and program enrollment criteria are detailed in Administrative Code rule 5160-43-02. In addition to full Medicaid coverage, individuals enrolled in the SRS program have access to these new services: Individualized Placement and Support-Supported Employment (IPS-SE) and Peer Recovery Support (PRS).
For general Behavioral Health Redesign questions, please visit the ODM/OhioMHAS Redesign website.