CareSource North Carolina Co., d/b/a/ CareSource Your Responsibilities Be Enrolled and Pay Required Premiums Benefits are available to you only if you are enrolled for coverage under the plan. To...

...order them. If you have onboarded but have not yet received your PrintSource login, please contact our Broker Service department. Please see the PrintSource Quick Reference Guide for instructions on...

Our Program Integrity Department handles cases of managed care fraud, waste or abuse. It can be done by providers, pharmacies, or members. Fraud means the purposeful misuse of or for...

...has changed and the date you can start seeing the new PMP. The Member Services department can also help you schedule your first appointment, if needed. For the names of...

To learn more about appeals and how to file an appeal for your plan, choose your plan from the drop down list above, then click GO. An appeal is how...

...Committee (part of the Department of Community Health (DCH).) The request can be made by you, a parent/guardian, or other representative. A representative is a person you allow to make...

...to the Pharmacy department Demonstrate drug information and critical literature evaluation Participate in project-based work and demonstrate professional attitude Contact Information Primary Preceptor: Shannon Steele, RPh, MSc Email: shannon.steele@CareSource.com Phone:...

...the Ohio Department of Medicaid (ODM) which will manage the credentialing process through the Provider Network Module: https://managedcare.medicaid.ohio.gov/managed-care/centralized-credentialing If you have any questions about the process of contracting or credentialing,...

...other industry ICD-10 websites. New CMS-1500 Claim Form Ohio Department of Medicaid (ODM) Tips & Alerts Claims Compliance Date Span Date Billing ICD-10 and Dental Claims Billing Unspecified Codes Inpatient...

...service Time the service begins and ends Provider types and list of the specific services that fall into each phase below can be found here. Ohio Department of Medicaid: EVV...