...non-contracted providers as Medicare would have paid for the same service. Non-contracted providers have the right to request a reconsideration of the plan’s denial of payment: Non-contracted providers have 60...

...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...

...a provider, click on the Select as Primary Care Physician button. If you can’t find a provider, call Member Services. We’ll be happy to help you find a provider to...

...provider policies. Some benefit management services are provided on behalf of CareSource. Please reference applicable policies from our delegated service providers. Lab Policies Musculoskeletal and Cardiac Surgical Policies CareSource maintains...

...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...

Providers are expected to deliver services in a culturally competent manner, which includes removing all language barriers, accommodating the unique ethnic, cultural and social needs of the member and understand...

...work with our plan. Provider Orientation View a brief informational presentation to welcome you and help you work with CareSource. 2021 Indiana Health Partner Orientation Provider Orientation Provider Orientation Provider...

...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...

...Quit Now program has FREE materials for providers to display at their location: Link to enroll as a Preferred Provider: Preferred Provider Enrollment Form Link to order Quitline materials: Education...

...ProviderSource Newsletter Winter 2024 ProviderSource Newsletter Fall 2024 ProviderSource Newsletter Spring 2024 ProviderSource Newsletter Spring 2024 ProviderSource Newsletter NCQA Annual Insert Winter 2023 ProviderSource Newsletter Fall 2023 ProviderSource Newsletter Spring...