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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:

Select a topic above to go directly to the section.

Provider Roster

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

If you are intending on submitting claims beginning July 1st, we will monitor your first submissions carefully to ensure accuracy of information. If you have additional questions on testing you have pursued up to this point, or would like to send additional test files, please contact OHBHinfo@caresource.com.

Clearinghouse Connections

Clearinghouse

Phone

Website

Alveo

800-327-1213

www.alveohealth.com

Availity

800-282-4548

www.availity.com

Change Healthcare

800-845-6592

www.changehealthcare.com

Practice Insight

832-476-9030

www.practiceinsight.com

Quadax

440-777-6305

www.quadax.com

RelayHealth

800-527-8133

www.relayhealth.com

ZirMed

877-494-7633

www.zirmed.com

CONTRACTING

We are excited to partner with you. To start the contracting process, please complete the following.

You will need your CAQH ID number, Tax ID number, NPI number, name, specialty and W9 to complete the form.

Continuity of Care Period

All 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.

SUPPORT

CareSource is available to assist with your transition to managed care.

Contact Us

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.

RESOURCES

Provider Portal

Submit claims, check claims status, review member eligibility and view payment information.

Prior Authorization

Submit the universal Ohio Association of Health Plans form to request prior authorization for outpatient behavioral health services.

Billing Guides

Hospital Outpatient Behavioral Health Clinic Billing Guide – Use this hospital billing guide to reference how hospitals should properly code claims for services.

Hospital Outpatient Behavioral Health Clinic Benefit Grid – Use this benefit grid to understand the hospital covered services for behavioral health services.

Benefit Guides

Community Behavioral Health Center Billing Guide – Use this billing guide to reference how community behavioral health centers should properly code claims for services.

Community Behavioral Health Center Benefit Guide – Use this benefit grid to understand the community behavioral health center covered services for behavioral health services.

For general Behavioral Health Redesign questions, please visit the ODM/OhioMHAS Redesign website.