...Reporting Form and mailing it to the address below Filling out the Fraud, Waste and Abuse Reporting Form Sending us a letter addressed to: CareSource Attn: Program Integrity P.O. Box...

...health services claims billed to ODM, went into effect on March 1, 2025. At the time of this change, claims that require EVV must have a matching EVV visit record....

...learning management system (LMS) called HealthPlanResources.com where we house and manage our custom education program. All live training sessions are hosted and recorded, then posted to this platform for viewing...

...other industry ICD-10 websites. New CMS-1500 Claim Form Ohio Department of Medicaid (ODM) Tips & Alerts Claims Compliance Date Span Date Billing ICD-10 and Dental Claims Billing Unspecified Codes Inpatient...

We realize that you perform administrative tasks in addition to tasks directly related to patient care. To assist you with these tasks, we’ve consolidated the information below. Member Billing Providers...

...pharmacy policies are applicable to provider-administered drugs covered by TrueCare Mississippi Medicaid. The below drugs may be reimbursable for properly prepared and submitted provider medical claims. The following medications are...

Our Provider Manual is a resource for working with our health plan. This manual communicates policies and programs and outlines key information, such as claim submission, and reimbursement processes, authorizations,...

...Care form – PCP to Specialist (coming soon) Coordination of Care form – Specialist to PCP (coming soon) Depression Reference Guide Find a Doctor Forms Pregnancy Transportation & Interpreter Services...

...Survey Over and underutilization patterns and trends On an annual basis, we formally evaluate our QI program and performance metrics against set goals. Our formal results inform our QI strategy...

...the Quick Start page. Explore healthy living on the Education pages. Use the online Tell Us form to send us your question or request. You will get a response within...