...adjusted, if it’s denied? If you receive notification of a claim denial, you should follow the steps based on the reason for denial (coming soon). Questions? ODM is working with...

...them • Help your overall health A key part of the MTM program is working one-on-one with your pharmacist. Your pharmacist will meet with you to go over your drug...

...take good care of yourself Helping you adopt a healthy lifestyle Working with your doctor to reach your health goals If your doctor, pharmacy or other health care provider tells...

This page explains the CareSource Indiana Quality Management and Improvement program. This section includes medical and technical terms. If you need help understanding this section, please call Member Services at...

...will offer tiered financial incentives for providers who have NCQA PCMH recognition. To support providers working to attain NCQA PCMH accreditation, CareSource offers free consultative assistance to navigate the recognition...

...and medically necessary. Working with the doctors, we decide the member is at risk for misusing or abusing opioid or benzodiazepine medications, and limit how they can get those medications....

...network. Become A Provider Frequently Asked Questions Frequently Asked Questions Check out answers to common questions about working with our plan. Find An Answer ICD-10 ICD-10 Find resources related to...

The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...

...visits to ensure it is working. Office visits can occur often or not, depending on what you are being treated for. *These visits may have some exclusions. For a complete...

...registered nurse. We are always working to improve your quality of care and service. We want you to be happy with the care and services you get. We use data...