...Healthcare (CAQH) application or CAQH number and National Provider Identifier (NPI) number to CareSource. OMPP requires that you submit a complete Council for Affordable Quality Healthcare (CAQH) application or CAQH...

...including eligibility, definitions, specific inclusions or exclusions, and applicable state or federal laws. The medical policies do not constitute medical advice or medical care. Treating health care providers are solely...

...Your mental health is a key part of your overall wellness, just like your physical health. That’s why mental health and substance use services are a core part of your...

...information, including demographic data, that relates to the member’s past, present or future physical or mental health or condition, the provision of health care to the member, or the past,...

...policies and guidelines at Avalon Healthcare Solution’s webpage. Laboratory services reported on claims will be reviewed for adherence and consistency with CareSource’s laboratory policies and guidelines, as well as industry...

...with questions. Examples of the types of providers in our network Primary Care – Family Practice, Internal Medicine, Pediatrics and OB/GYN Behavioral Health – Mental Health and Addiction/Substance Disorders Specialty...

...on when a prior authorization is required. You can also review our prior authorization list. Supplemental Benefits For 2026, CareSource Marketplace Plans feature the following supplemental benefits: TruHearing® provider network...

...Administration National Alliance on Mental Illness National Institute of Mental Health Mental Health.gov Mental Health America Centers for Disease Control and Prevention National Institute on Drug Abuse Mental Health and...

...of Mental Health (NIMH) NIMH offers expert-reviewed information on mental disorders, a range of related topics, and the latest mental health research. Questions? Call Member Services at 1-800-488-0134 (TTY: 711)....

...Plans (PIHPs) to better serve members with mental health needs or substance use disorders. Our Care Management team works closely with PIHPs to meet both mental health and physical health...