...credentialing request and provider demographic updates. The PNM module is the single point for providers to complete provider enrollment, centralized credentialing, and provider self-service. The PNM module replaced MITS provider...

...provider costs and cost shares. Provider costs. We work with providers to agree on an overall cost for services. Overall cost considers the place (ER, office, clinic) and the cost...

...with traditional Medicare Providers need to confirm the CareSource MyCare Ohio member’s option for Medicare coverage. Important Tools Provider Portal Member ID Card You can easily verify member eligibility by...

...Health Contact Us If you are not finding the information you need or have more questions, please call us. Our Provider Services staff is happy to assist you. CONTACT US...

...screened for colorectal cancer. Talk with your provider about the best screening for you. If you are younger than 45, your provider may recommend getting screened if you have a...

...change my primary care provider (PCP)? My CareSource lets you find and choose a new doctor. You can change your PCP to another provider up to once a month. Or...

...Authorization Request Form . Non-Participating Providers Prior authorization must be obtained before sending patients to nonparticipating providers, with the following exceptions. Emergency Services All in-patient services require prior authorization. Please...

...Grievances via the Provider Portal Fast Facts: Providers have 30 calendar days from the date of the incident to file a provider grievance. CareSource will resolve all provider grievances within...

...will review the provider’s request and begin building the provider’s contract. CareSource will coordinate with the CVO to confirm the status of providers who request to enroll with us and...

...HAP CareSource MI Coordinated Health Our Provider Manual is a detailed resource for working with us. Or visit our Quick Reference Materials for a variety of resources that make it...