This number is only for service plans and NOT claim submissions. To learn more, view the network notification. The Indiana Health Coverage Programs (IHCP) has a specific process for members, providers, or other interested parties who would like to submit requests for policy consideration. Our Provider Services department will answer your calls from 8 a.m. to 6 p.m., Monday through Friday. The Right Choices Program monitors member utilization and, when appropriate, implements restrictions for members who would benefit from increased case coordination. These provider education training links cover topics such as documentation requirements, billing guidelines, and other program integrity- and audit-related issues. information. Copyright CareSource 2022. Paper claim forms are encouraged only for services that require clinical documentation or other forms to process. Preadmission Screening and Resident Review (PASRR). New Provider Setup: Check Enrollment Status. Electronic Data Interchange (EDI) Solutions. Indiana Medicaid. Get Contracted by following the link below. Use the portal to pay your premium, Claims Search, EOP & Submissions. Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important
Maintaining Your IHCP Provider Enrollment. WAIVER Providers must have a National Provider Identifier (NPI) by Oct. 1, 2021 or claims will be denied. With the Bizapedia Pro Search service you will get unlimited searches via our various search forms,
The Webinar details: Learn more about this great educational opportunity and register for the webinars. We believe in benefits without boundaries. User Registration. Questions? Customer Contact. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Claims Search, EOP & Submissions. For your ZIP code, if you have multiple addresses in your profile, any ZIP code from the profile will work. IHCP providers should verify enrollment of the ordering, prescribing or referring (OPR) provider before services or supplies are rendered. 4 0 obj
Health Insurance Portability and Accountability Act (HIPAA). Complete an IHCP Provider Enrollment Application. Enroll as a provider with the IHCP to bring critical medical care to eligible Hoosier children and adults. Claims: 844-336-2677 PA: 800-788-2949 PA Fax: 858-790-7100 Dental Services DBM: DentaQuest DentaQuest Provider Portal 855-453-5286 Fax: 262-834-3589 CareSource Provider Services CareSource.com 844-607-2831 Member Services 844-607-2829 Claims CareSource Claims 844-607-2831 Prior Authorization - Medical and SUD CareSource PA 844-607-2831 Established in 1989. Refer to the provider manualfor instructions to submit paper claims. CareSource offers this service at no cost. The IHCP reimburses for long-term care services for members meeting level-of-care requirements. Press Enter again after expanding an item to navigate to that page. Qualified Provider Presumptive Eligibility (PE). PACE provides community-based care for qualified members who are 55 and older that live in a PACE service area. Find important information for providers, software developers, and trading partners that communicate via electronic data interchange format and direct data entry. company profile page along with the rest of the general data. Indiana Medicaid provides a healthcare safety net to Hoosier children, aged, disabled, pregnant women, and other eligible populations under the umbrella of Indiana Health Coverage Programs (IHCP). The IHCP reimburses for hospice services in a hospice facility, in a nursing facility, and in a private home. To ensure that we have the most up-to-date service plan for our MyCareOhiomembers, please fax your service plan to 937-487-0936. Medicare Advantage: 1-844-607-2827 (TTY: 1-800-743-3333 or 711) Hours: 8 a.m. to 8 p.m. EST, seven days a week from October 1 to March 31, and Monday - Friday the rest of the year. Get answers to the most frequently asked questions about the IHCP. x}]s6}[>[M|[Su8x{wjg/[cIYLyI2r,i4F'ww_9W7_?^4/W_~;p_0\{1eDo34w_Np?O/xp_gztQ>8|o// :h1I~FJ8IIt[)]~Ff8 5j3Oo(] q[L=zx\y30?gv5{kxYzx4nMu 5Y=hPZ>;+HJW$JuF4=nUM:,LGp01]RjNBUe!RFt r-=/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 21 0 R 22 0 R 28 0 R 29 0 R 30 0 R 31 0 R 34 0 R 35 0 R 36 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
with up to 5 times the number of maximum matches per search vs. non-subscribers. The Medical Review Team determines an applicant's eligibility based on a disability. To protect our site, we cannot process your request right now. In addition to initiating your prior authorization request through the provider portal, you can now submit requests to update your authorization requests. The landscape of telehealth has quickly evolved over the past year. Caresource Health Plan is an Oregon Assumed Business Name filed On November 19, 2004. Payment Review Tool Use this tool to reference CareSources pre- and post-payment review processes and appropriate contacts. Register for an account. Ordering, Prescribing or Referring Providers. endobj
There will be new individual and provider portals that will look and act differently. Register for an account. Caresource Management Services LLC is a Washington Foreign Limited-Liability Company filed On March 18, 2020. The changes have enhanced the individual and provider experience. Call ECHO Customer Support at 1-888-834-3511. If you get a message that you are already registered, go to the, If you get a message that the provider does not exist in Provider Portal, you can call the help line at, Locate the email in your email inbox to reset your Provider Portal password. %PDF-1.7
Provider Relations regions are organized to minimize provider wait times when providers need assistance. Step-by-Step Guidance: Register for the Provider Portal. The IHCP participates in the federal Promoting Interoperability Program to provide incentives for eligible professionals and hospitals to adopt, implement, upgrade, or demonstrate meaningful use of certified electronic health records (EHR) technology. They issued a . CareSource would like to remind all MyCare Waiver providers that all waiver codes require a prior authorization. Submit this Navigate New Provider Setup: Check Enrollment Status. IHCP Medicaid Rehabilitation Option services include community-based mental health care for individuals with serious mental illness, youth with serious emotional disturbance, and/or individuals with substance use disorders. We administer one of the nation's largest Medicaid-managed care plans and offer access to care through health insurance, including Medicaid, Health Insurance Marketplace, Medicare Advantage and dual-eligible programs. Indiana Medicaid for Providers. You will use this paper claim process until you can log in to the Provider Portal and access your service plan. Contact Information. It has critical information and tools to save your practice time. Should you have any questions regarding the termination of parental responsibilities and rights, please do not hesitate to contact our child custody lawyers in Johannesburg to schedule an appointment to discuss the issue. In addition,
Complaint Type: Problems with Product/Service. Press Enter or Space to expand a menu item, and Tab to navigate through the items. Children who are wards of the State, receiving adoption assistance, foster children and former Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. Click belowto see more! <>
Current offerings are posted here. HCBS programs are intended to assist a person to be as independent as possible and live in the least restrictive environment possible while maintaining safety in the home. If you are unable to log in to the Provider Portal and access your service plan, use theCMS 1500 Health Insurance Claim formto expedite your claim payment. To create your user account, do the following: Must contain one lowercase letter, one uppercase letter, one digit and one non-alphanumeric character. Providers have the option to submit claims through our secure, online Provider Portal. Initial Complaint. The Presumptive Eligibility process allows qualified providers to make PE determinations for certain eligibility groups to receive temporary health coverage until official eligibility is determined. The Provider Portal makes it easier for you to work with us 24/7. While logged in and authenticated, you will not be asked to solve any complicated Recaptcha V2 challenges. Providers interested in becoming qualified providers (QPs) for presumptive eligibility (PE) must complete an application through the IHCP Portal and contact IHCP Provider Relations to arrange training. The Healthy Indiana Plan is a health-insurance program for qualified adults ages 19-64. A Member Services representative will be happy to answer your questions Monday through Friday, 8 a.m. to 8 p.m. unless otherwise stated below. CareSourceaccepts claims in a variety of formats, including online and paper claims. Indiana Medicaid Promoting Interoperability Program. The IHCP will implement an electronic visit verification (EVV) system for federally required provider documentation of designated personal care and home health services. Providers must be enrolled as MRT providers to be reimbursed for MRT services. Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Marketplace: 1-877-806-9284 (TTY: 1-800-743-3333 or 711) Hours: 7 a.m. to 7 p.m., Monday - Friday. The .gov means it's official. Filing Jurisdiction, Entity Type, Registered Agent, File Number, Filing Status, and Business Category. You can use theAvaility Portal Registration Guide to get signed up. endobj
Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. You can also review theWaiver Services Claim Entry and Service Plan Trainingpresentation. Enroll with ECHO for payment and choose EFT as your payment preference for CareSource. 9ZYxl FdUgzhPh The 590 Program provides coverage for certain healthcare services provided to members who are residents of state-owned facilities. For preauthorization of medication supplied and administered in a physician's office and billed as a medical claim (Part B for Medicare) 866-461-7273 . Providers and their delegates can learn how to make the most of the IHCP Provider Healthcare Portal through web-based training sessions. Utilize our advanced search form to filter the search results by Company Name, City, State, Postal Code,
Box 8730Dayton, OH 45401-8730Fax: 937-224-3388. Whether you're new to Medicaid or have been a provider for years, this section is designed to help answer your billing questions. If you have any questions, please contact us at providers@caresourcer.com or call 0800 048 8618. The email notifications are used to send notices to subscribers on behalf of the IHCP. The Ohio Home Care Waiver Program case managed by CareSource has moved to a new system platform on April 1, 2021. ECHO offers three payment options: *Payment processing fees are what you pay your bank and credit card processor for use of payment via credit card. Claim your free profile. The Indiana Health Coverage Programs (IHCP) invites providers to attend the 2022 IHCP Works seminar from Oct. 11 through Oct. 13. Network Notifications are published to communicate updates that impact claims, clinical guidelines, Provider Portal functions and more. IHCP reimbursement for services or medical supplies resulting from a practitioner's order, prescription or referral requires the ordering, prescribing or referring (OPR) provider to be enrolled with the IHCP. Learn about the many ways to contact the Indiana Health CoveragePrograms(IHCP). My CareSource , your personal online account.. Get the most out of your member experience. CareSource has partnered with Pulse8 and we are offering on line ICD-10-CM diagnosis coding and Risk Adjustment education sessions and webinars. If you do not see the email in your inbox, do one of the following: Confirm you are using the same email address that you registered with. Step 1 of 3 - Provider Eligibility. Your Gainwell provider relations consultant . It is important that you verify member eligibility on the date of service every time you provide services. Prior Authorization Search & Submissions. RANDBURG HEAD OFFICE. Program for All-Inclusive Care to the Elderly (PACE). Instructions for submitting claims and/or appeals for denial of claims can be found onthe Provider Portal. stream
Ms. Jenny Michael, SVP, Advocacy; Mr. Erhardt Preitauer, President/CEO; . CareSource is a nonprofit, multi-state health plan recognized as a national leader in managed care. Humana - CareSource strives to make it easy for you to work with us, whether online or over the phone.For questions not addressed on our website, please call Provider Services at 1-800-488-0134.1-844-679-78651-855-852-55581-844-607-28311-866-286-99491-855-202-10581-855-202-10911-855-852-70051-844-539-17291-833-230-21761-833-230-2155 You can . For questions not addressed on our website, please call Provider Services at 1-800-488-0134.1-844-679-78651-855-852-55581-844-607-28311-866-286-99491-855-202-10581-855-202-10911-855-852-70051-844-539-17291-833-230-21761-833-230-2155 You can reach us Monday through Friday from 8 a.m. to 6 . To register on the Provider Portal, complete the following steps: If you are locked out of your account due to too many incorrect login attempts, or you do not remember your password, you can reset your password by following these steps: If your account is locked due to too many login attempts, use the Forgot password? link to reset your password, or you can wait 24 hours and attempt to log in again. IHCP Live webinars offer providers an opportunity to learn about new policy initiatives and billing guidance. With more than 100,000 network providers across the coverage areas, and depending on your plan, you have plenty of choice when it comes to finding the best care available to meet your health needs. If you have questions about IHCP provider enrollment, enrollment status or provider profile updates, call Customer Assistance at 800-457-4584 and select option 2, and then option 1 to check provider enrollment status or option 3 to update provider enrollment information. MA - Dual Special Needs: 1-833-230-2020 (TTY: 1-800-743-3333 . Enrolling as a Managed Care Program Provider. Caresourcer.com uses Cookies to provide you with the best experience we can and to continue to improve the site.. . Type the email address that you want associated to your Provider Portal account. FSSA updates. CareSource Find a Doctor. There will be new individual and provider portals that will look and act differently. In addition, all pages on Bizapedia will be
For all high tech radiology: CT, CTA, MRI, MRA and PET scans; providers should contact NIA or their web portal at www.radmd.com. Family Member/Associate Transportation Providers. Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. CareSource has partnered with ECHO Health, Inc. to deliver provider payments. Providers are responsible for keeping all the information in the Provider Profile up-to-date. PCP Roster & Clinical Practice Registry. How do i contact caresource.Please check this web page often to stay up to date with all updates.If you . In addition to information about how to submit claims and check payments, CareSource offers you tools to find specific information, such as claim status and member coordination of benefits (COB) status. Learn about the many ways to contact the Indiana Health Coverage Programs (IHCP). Learn more: PRAF Informational Webinar. CareSources traditional providers, community partners and delegates and health homes all may submit claims through the CareSource Provider Portal using onlineforms. Overpayment Recovery Form Submit this form to offset overpaid claims against a future payment. All claims for waiver services reimbursement or appeals for claim denials should be submitted electronically through ourProvider Portal. Three types of claims may be submitted: For a detailed explanation of how to submit claims using online forms, please see the CareSource Provider Portal Claim Submission User Guide. If you do not see the activation email in your Inbox, do one of the following: Confirm that you have entered the email you registered with. When registering your email, check the category on the drop-down list to receive notices of
Questions? The company's filing status is listed as Active and its File Number is 253135-94. Territory Map. For more information, please click here. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. * Change your doctor Request a new ID card View claims and plan details Update your contact information And more Login Sign Up. Check this page for training opportunities around electronic visit verification (EVV) for personal care and home health services. We want to make it easy for you to stay aware of any changes with CareSourceplans, as well as new processes we create to make doing business with us more efficient. In addition to information about how to submit claims and check payments, CareSourceoffers you tools to find specific information, such as claim status and member coordination of benefits (COB) status. Status: Resolved. The IHCP allows a family member or close associate of a Medicaid member to officially enroll as a driver, so the driver's mileage can be reimbursed. Medicare Savings Programs pay Medicare coinsurance, deductibles, and/or premiums for qualified elderly and disabled individuals. The information that identifies and describes an enrolled IHCP provider is called a Provider Profile. The Registered Agent on file for this company is Corporation Service Company and is located at 300 Deschutes Way Sw Ste 208 Mc-Csc1, Tumwater, WA 98501. *WWL42+Ew7Hj^)J^Z=]WMiEjE-k+;{hU. |tkT39C4OiU:mJOv^{MA4C
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Not already Contracted to Sell for CareSource? Find presentations from the most recent IHCP workshops and seminars are archived here. Any inaccurate demographic information (phone number, address, etc.) You can submit claims and any necessary attachments, track claim payments and more. This item is may be covered by Medicare, Medicaid or your commercial insurance plan.If . Go to https://www.caresource.com/providers/contact-us/. The Health Insurance Portability and Accountability Act (HIPAA) contains the provisions for portability, Medicaid integrity, and administrative simplification. You can send us your question or request by telling us the information below. Low-income individuals who don't qualify under another eligibility category may qualify for family planning services under the Family Planning Eligibility Program. The Registered Agent on file for this company is Twila Farris and is located at 740 Se Seventh Street, Grants Pass, OR 97526. Provider Services can also help with obtaining a unique CareSource portal ID for registration and log on. For more information about drugs that require prior authorization, access our Pharmacy webpage. April 28th 2022 I requested a refund from Caresource due to overpayment of $510.28. o9hnplU )ev9NQgz?Y_Rt
&si5Z +{V0K`^^7*7 P?$vhN77nqVYOQvMz9Z e-| `BJoK$\3wFhd7H1l:tQ"8vvc{T{~v [*Bk' #G,!Riu I;7sIK57tt2.u q*,Ym80Lei2&Aei(P;-:bh'K3$Fb0U#G,;Qs.<2L We encourage you to submit claims online to take advantage of the following benefits: Refer to the Navigate The IHCP Quick Reference Guide lists phone numbers and other information for vendors. When you register as a Group, you will have access to all information for all providers listed under the Group Tax ID. Program Integrity Provider Education Training. served to you completely ad free and you will be granted access to view every profile in its entirety, even
The company's principal address is 740 Se Seventh . . If you are registering as part of a provider group, select. Providers can find pharmacy benefit information for the program/health plan with which the member is enrolled. Contact Information. Join us and watch your business grow. Locate the email in your inbox to activate your Provider Portal account, open it, and then click the. The company's filing status is listed as Active and its File Number is 604589175 . 2 0 obj
cover sheet and itemized statement for high dollar claims. CareSource has developed the Telehealth HEDIS Measure Quick Reference Guide to provide guidance for activities where telehealth visits, and their related claims, may contribute to measurable quality outcomes in HEDIS (Healthcare Effectiveness Data and Information Set). CareSource is excited to announce additional enhancements for the Provider Portal. 06/17/2022. The Workshop Registration Tool enables providers to sign up for workshops. CareSource also partners with Availity to offer electronic claim submission and real-time transactions at no charge through theAvaility Portal. It can also be used to review or modify a registration. <>
CareSource Medline is a Medicare and Medicaid participating supplier in some states. The email you enter is used to send your user account activation. Enrollment transaction submissions are needed to enroll, add a service location, report a change of ownership, revalidate, or update provider profile information. The IHCP offers provider training opportunities including instructor-led workshops, seminars, webinars, and self-directed web-based training modules. In addition to initiating your prior authorization request through the provider portal, you can now submit requests to update your authorization requests. Provider Relations Consultants. Provider Enrollment Inquiries. April 28th 2022 I requested a refund from Caresource due to overpayment of $510.28. All rights reserved. Your entire office will be able to use your search subscription. All rights reserved. Visit this page for information about upcoming webinars and recordings of past presentations. CareSource accepts claims in a variety of formats, including online and paper [] Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of
If you send us your question or request on a Friday, you will receive a response by Monday of the next week. Providers can get help by calling Provider Services at 1-800-488-0134. If you are in need of enterprise level search, please consider signing up for a Bizapedia Pro Search account as described on this page. Press Escape to collapse the expanded menu item. Navigate https://www.caresource.com/providers/contact-us/, Pregnancy Risk Assessment Form (PRAF 2.0), Covers documentation and coding of illnesses, Live sessions have a question and answer session after the presentation, On-demand sessions are approved for one CEU through the American Academy of Professional Coders (AAPC), If you are registering as a provider, select. Copyright CareSource 2022. Providers can get help by calling Provider Services at 1-800-488-0134. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who Home- and Community-Based Services (HCBS). IHCP-enrolled providers interested in enrolling as a provider for Healthy Indiana Plan (HIP), Hoosier Healthwise, or Hoosier Care Connect members must apply directly to one or more of the managed care entities (MCEs). Find clinical tools and information about working with CareSource. doctor, request an ID Card and more. Navigate Contact Us. For example, you will now be able to add additional documentation or change dates of service. Step-by-Step Guidance: Register for the Provider Portal. The IHCP Provider Healthcare Portal is an internet-based solution that offers enhanced reliability, speed, ease of use, and security to providers and other partners doing business with the IHCP. * Change your doctor; Request a new ID card; View claims and plan details; Update your contact information . <>/Metadata 1143 0 R/ViewerPreferences 1144 0 R>>
Prior authorization is required for certain covered services to document the medical necessity for those services before services are rendered. Prior Authorization Search & Submissions. The provider search tool enables you to locate providers enrolled with the IHCP to provide services to Medicaid members. Provider Services can also help with obtaining a unique CareSource portal ID for registration and log on. 011 888 0246 / 061 516 6878. Outpatient practices may register as Practitioner to create a portal account for the practice Tax ID. Additional information can be found in the prior authorization section on the portal. They issued a . The IHCP provider enrollment instructions and processes are outlinedon these web pages. Humana - CareSource strives to make it easy for you to work with us, whether online or over the phone. if the company chooses to hide the private information on their profile from the general public. Nonemergency medical transportation services for most members served through the fee-for-service delivery system are brokered through Southeastrans Inc. A Notification of Pregnancy transaction helps identify risk factors in the earliest stages of pregnancy and thereby improve birth outcomes. The changes have enhanced the individual and provider experience. We are sorry, but your computer or network may be sending automated queries. This list is not inclusive of every health care service with a telehealth component. The reset password email will come from a sender titled. Reference our Dental Provider Manual for dental services that require prior authorization. that you found in the electronic or print . endobj
provider manualfor detailed information to submit claims. Tell Us. MyCare waiver services providers can also submit claims through the Provider Portal, but they do not use the same process as traditional providers, community partners and delegates and health homes. Member & Eligibility Search. if we've collected "Sales Lead Information" for a given company, it will be displayed on the
CareSource encourages providers to use the Pregnancy Risk Assessment Form (PRAF 2.0) decrease preterm births by facilitating progesterone treatment. The IHCP is working in collaboration with stakeholders to expand and improve SUD treatment. To receive notices, you must subscribe. This site is protected by reCAPTCHA and the Google. Copyright 2022 State of Indiana - All rights reserved. Recent policy changes have expanded the use of telehealth to deliver acute, chronic, primary and specialty care to preserve and support the patient-provider relationship. Find the forms you need to serve members and transact business with the IHCP. IHCP Quick Reference Guide. For example, you will now be able to add additional documentation or change dates of service. Payment Review Tool Use this tool to reference CareSources pre- and post-payment review processes and appropriate contacts. The Preadmission Screening and Resident Review process is a requirement in all IHCP-certified nursing facilities, prior to admission or when there is a significant change in the physical or mental condition of a resident. Member & Eligibility Search. Contact Us | CareSource best www.caresource.com. We want to make it as easy as possible to conduct business with us. After you complete the paper claim form, you may either mail it or fax it for processing: CareSourceAttn: Claims DepartmentP.O. Find links to provider code sets, fee schedules and more. The Preferred Diabetes Supply List helps ensure that IHCP members receive the highest quality products at the lowest cost. The mission of the Program Integrity Unit is to guard against fraud, abuse, and waste of Medicaid program benefits and resources. 3 0 obj
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