...plans, and Institutional Special Needs Plans. She brings decades of experience in managed care policy, plan development, and aging services. Prior to launching ElderServe Health, Susan built one of the...

...through CareSource’s provider networks and vendor partnerships. Prior to joining CareSource, Puu held executive leadership positions at Hawaii Medical Service Association Blue Cross Blue Shield of Hawaii, including senior vice...

...populations based on stratified racial/ethnic, linguistic, gender identity, and sexual orientation outcomes, analyses and prioritization of opportunities for improvement. At TrueCare, process improvement is a cornerstone of our mission to...

...community. With a proven track record of leadership and innovation Holly brings decades of experience in the defense and health information technology sectors to this role. Prior to this role,...

...We prioritize people over profits, channeling resources back into members, providers, communities, and employees. For more information, take a look at our Partner with Purpose contracting brochure. This resource reviews...

...And so much more! *Some services need to be approved before you can get them. This is called prior authorization (pre-authorization). It must be medically necessary for your care. Your...

...need prior approval Member Responsibilities As a member of our health plan you must also be sure to: Review your HAP CareSource member materials Make and keep appointments with your...

Keeping your provider information up to date is crucial for timely claims processing and enhancing patient experiences. Accurate data improves patient access, allowing them to easily find and connect with...

...information on the Provider Master File (PMF) through Medicaid Information Technology System (MITS), prior to the anticipated freeze. Provider Updates for October 1 Launch To submit a new Ohio Medicaid...

...is important to verify beneficiary eligibility using their Beneficiary ID card and our provider portal prior to each service rendered. We recommend that you check member eligibility each and every...