...Effective October 1, Medicaid providers need a State of Ohio digital identification (OHID) to access the PNM portal and Gainwell Technologies’ single pharmacy benefit manager (SPBM) secure provider portal. Click...

...vision services for our beneficiaries. Our vision providers can access the following tools to help them provide efficient and quality care: Provider Portal Register for the Provider Portal to access...

...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...

...Doctor/Provider Use this online tool to find doctors and other providers in the CareSource Network. Find a Doctor/Provider Find a Pharmacy Use this tool to find pharmacies near you. Go...

...of providers: Family practice providers: Providers who care for children and adults of all ages and may include obstetrics and minor surgery. Nurse practitioners (NP) and physician assistants (PA):Providers who...

...works, you may file a grievance. For example, you may be unhappy because: You cannot get a timely appointment with a provider. You think the provider’s office staff did not...

...All internal appeal requests must have: The covered person’s name and ID number as shown on the ID card The provider’s name The date of the medical service The reason...

...your digital member ID card Access your secure My CareSource® member portal account. Find a provider, hospital, or clinic near you and get directions. View your claims. Check your copays,...

...and more. Access Agent Portal Agent Portal Tutorial Agent Portal Tutorial Browse our agent portal tutorial guide to learn how to best utilize the agent portal. Browse Agent Portal Tutorial...

...monitored, and members are assigned designated providers. GA LIP members must get their medicines filled at one pharmacy and use their primary care provider for medical care. Helpful terms to...