...Update For 2025, CareSource Marketplace Plans feature the following benefits: TruHearing® provider network for hearing services is included with all plans. EyeMed® provider network for vision services on all plans...

...to pay for your health care and prescription costs.. What Is An EPO Network? EPO stands for Exclusive Provider Organization. This means health plan members will only have coverage for...

...Medicare and Medicaid Services (CMS) Meeting the requirements of the CareSource Indiana contract with the Office of Medicaid Policy and Planning Establishing safe clinical practices throughout the network of providers...

...determined based upon a review of the actual services provided to a beneficiary and will be determined when the claim is received for processing. Providers and their office staff are...

...at 1-800-488-0134 or visit https://www.caresource.com/providers/ for instructions. Error Number: 132 Error Description: Missing/Invalid Medicaid ID for Atypical Provider How to Fix: Ensure correct Medicaid ID is provided. Error Number: 187...

...benefits too! OTHER PLAN HIGHLIGHTS INCLUDE: A strong network of providers: including networks for diabetes targeted health systems and other provider specialties for complex symptom management. Specialist visits do not...

...System (OMES) Provider Network Management (PNM) module, which will reduce administrative burden on providers. Also, the Single Pharmacy Benefit Manager (SPBM) will begin providing pharmacy services across all managed care...

...by selecting Dual Special Needs from the list. Network Exceptions It is important to know which providers are part of our network because, with limited exceptions, while you are a...

...this means: Covering services without any limits or need of a prior authorization. This includes services done by out-of-network providers. Using a special claims payment process to make sure providers...

...Needs Plans (D-SNPs) to provide initial and annual Model of Care (MOC) training to all network providers contracted to see dual-eligible members and all out-of-network providers seen by dual-eligible members...