...questions about a dispute to a provider disagreeing with a denial. They do not include inquiries that come through ODM’s Provider Web portal (HealthTrack). Provider disputes do include provider disagreements...

...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...

...address and password when 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...

...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...

...the provider portal to make any demographic changes. To do this, please log into the provider portal and click the “Provider Maintenance” option from the “Provider” menu. For further instructions,...

...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...

...the provider to have 120-day provider agreement. Providers cannot have more than one 120-day provider agreement. If a provider who is not active in ODM’s PNM system or is not...

...provider may contact CareSource Provider Services at 1-833-230-2100 to resolve this issue. Error Number: 128 Error Description: Submitted Provider Tax ID not in Facets How to Fix: The provider is...

...provide additional health options to the member for self-care or care from community partners. In addition, providers are expected to administer patient care in a culturally competent manner. Resources are...

...PASSE Common Roster Template This form should be completed by large facilities needing to add a large number of providers. Providers may attach the completed form to their New Health...