...and most recognized networks for vision care in the country. EyeMed is our exclusive network of providers for annual vision exams and glasses or contacts for our pediatric vision coverage,...

...– A health provider’s order for a drugstore to fill and give a drug to their patient. Prior Authorization – Pre-approved coverage from CareSource before health care is given. Providers...

...ODM/OhioMHAS specialty (Mental Health: 84 and/or Substance Use Disorder: 95, etc.) W9 Groups going through the initial contracting process may also be required to submit a roster of rendering providers...

CareSource® covers vision services for our Ohio Medicaid members. Our vision providers can access the following tools to help them provide efficient and quality care. Routine Vision Provider Manual (Coming...

...Required to Report Incidents AR Department of Human Services (DHS) has identified providers that are required to report incidents/serious occurrences to DHS and the PASSEs. Providers of the following services...

...care facility that isn’t in your health plan’s network. “Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill...

...provider enrollments and carry out centralized credentialing functions. This transition will reduce administrative burden for providers and enable providers to focus on the more meaningful and important work of providing...

...Doctor/Provider tool to find providers like family therapists, substance use counselors, social workers, community mental health centers and more. If you don’t see the help you need, call Member Services...

...Find a Doctor/Provider tool to find providers like family therapists, substance use counselors, social workers, community mental health centers and more. If you don’t see the help you need, call...

...provider while you change to in-network providers with your new plan. Call Member Services to get this started. Get Up and Running! When You Are Coming From Another Plan (another...