Want to choose or change your Primary Care Provider (PCP)? It’s easy! You can pick a new primary provider by logging into your My CareSource account. Click the Find a...

...services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers can bill you is your plan’s in-network cost-sharing...

...accessing the Provider Portal. Provider Education Series CareSource has created a custom library of training and resources on topics important to health care providers. Trainings are short (five to seven...

...Medicaid (ODM) Next Generation Program - Provider Updates for October 1 Launch 09/06/2022 Policy Updates September 2022 09/01/2022 CLIA-Waived Tests Update 08/22/2022 BH Provider Service Resolution Process Summary 08/19/2022 Provider...

...the member’s card? Yes! Any participating primary care provider (PCP) may see eligible CareSource members. PCPs are responsible for verifying member eligibility before providing any services. Please log on to...

...revised with the input from a medical director of like specialty and then reviewed/approved by the Market Provider Advisory Committee and the Enterprise Provider Advisory Committee. To ensure consistent application...

...Provider Types To qualify as a PCP, a provider must practice in one of the following primary care areas: General practice Family practice Internal medicine Pediatrics Obstetrics/gynecology A specialist may...

...providers, whether out-of-state or unenrolled providers, who are not active providers on the PNM. Providers can submit an application for screening, enrollment, and credentialing through ODM PNM & Centralized Credentialing...

...care providers. Our providers work with us in this effort. We choose providers based on their education and quality of care. We do not discriminate against any providers. We may...

...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...