Access Opportunity
If you would like to submit an opportunity to improve the CareSource network - Fill in the information below and it will be evaluated within 72 hours.
1) Your Personal Information
I am a...
Member
Provider
Employee
First Name:
Last Name:
Email:
Phone:
Ext:
2) Your Address Information
Address Line 1:
Address Line 2:
City:
ZIP:
State:
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Indiana
Kentucky
Ohio
West Virginia
Georgia
Arkansas
County:
3) Report of Access Opportunity
Type of Access
Physician not accepting new patients
Excessive appointment time
No provider available
Other
Health Partner Type
PCP
Specialist
Dentist
Peds
Other
Please select
ABA Therapist
ACA PE Children Under Age 19
ACS Enviro Mods-Adap Equip
ACS Waiver Crisis Intervention
ACS W-CASE MGMT-TRAN CASE
ACS W-CONSULTATION SERVICE
ACS W-ORG HLTH CARE DELIV SYS
Acupuncture
Acute Care Nurse Practitioner
Addiction Medicine
Addiction Medicine (Fam Med)
Addiction Medicine (Int Med)
Addiction Medicine (Primary)
Addiction Psychiatry
Administrative Medicine
Adolescent Medicine
Adult Day Care
Adult Dev Day Tmt (ADDT)
Adv Hrt Failure & Trns Crdlgy
Advanced Practice Nursing
Allergy & Immunology
Alternative Living Services
Alternative Meals Choices Home
Ambulance
Ambulance - Ambulance Services
Ambulance - Ground Ambulance
Ambulance - Rotary-Wing Air Ambulance
Ambulance - Wheelchair Van
Ambulatory
Ambulatory Surgery Center
Ambulatory Surgery Center - Ambulatory Surgery Center
Anesthesia Assistant Individual - Anesthesia Assistant Individual
Anesthesiologist Assistant
Anesthesiology
Anesthesiology Critical Care Medicine
Assisted Living / Adult Day Health Care
Athletic Trainer - Certified
Audiology
Autism Spectrum Disorder
BCBA PARAPROFESSIONAL
Behav Support Consult Self-dir Behav-Supp-Cons-Se
Behavioral Health
Behavioral Health - Addiction Medicine
Behavioral Health - Child & Adolescent Psychiatry
Behavioral Health - Counseling
Behavioral Health - Health Center
Behavioral Health - Marriage & Family Therapy
Behavioral Health - Nurse
Behavioral Health Para-Professionals - CANS Assessor
Behavioral Health Para-Professionals - CANS Assessor (OhioRISE)
Behavioral Health Para-Professionals - Care Management Specialist
Behavioral Health Para-Professionals - Peer Recovery Supporter
Behavioral Health Para-Professionals - Qualified MH Specialist
Behavioral Health Para-Professionals - Qualified MH Specialist 3
Behavioral Mgmt Svcs. Pediatric
Birthing Center
Cardiac Catheterization Servic
Cardiac Electrophysiology
Cardiac Intensive Care Unit
Cardiology/Cardiovascular Disease
Case Management
CBAY (Community-Based Alternatives for Youth)
Cert Registered Nurse Anesthetist
Certified BCBA-Behav Analyst
Certified OH Behavioral Analyst - Behavior Analyst
Certified Ohio Behavior Analyst
Certified Registered Nurse Anesthestist (CRNA) Individual - Anesthesia CRNA
Certified Registered Nurse Anesthestist (CRNA) Individual - DME Supplier
Chemotherapy/Infusion Therapy
CHILD HLTH MGMT SVCS
Children Intensive Behavioral
Children Intensive Behavioral Health Services
Chiropractor
Chiropractor Individual - Acupuncture
Chiropractor Individual - Chiropractic Services
Clinic - DODD Waiver
Clinic - Family Planning Clinic
Clinic - ODA Waiver
Clinic - ODJFS Waiver Home Delivered Meals
Clinic - Primary Care Clinic
Clinic or Group Practice
Clinic or other Group Practice
Clinical Cardiac Electrophysiology
Clinical Counselor
Clinical Cytogenetics
Clinical Genetics
Clinical Neurophysiology
Clinical Nurse Specialist
Clinical Nurse Specialist Individual - Acupuncture
Clinical Nurse Specialist Individual - Acute Care
Clinical Nurse Specialist Individual - Adult Health
Clinical Nurse Specialist Individual - Clinical Nurse Specialist
Clinical Nurse Specialist Individual - Geriatric
Clinical Nurse Specialist Individual - Oncology
Clinical Nurse Specialist Individual - Palliative Care
Clinical Nurse Specialist Individual - Pediatric
Clinical Nurse Specialist Individual - PSYCH
Clinical Nurse Specialist Individual - Psychiatric
CMS QMHS Bachelors
CMS QMHS High School
Colon & Rectal Surgery
Community Access Community-Access
Community Health Centers
Community Mental Health
Community Services and Support
Comprehensive Primary Care (CPC) - CPC - Behavioral Health - Child & Adult
CONSULTANT (AIIC)
Counseling - Clinical
County Health Department
Critical Access Hospital
Critical Care Medicine
Critical Care OB/GYN
CRNA Anesthetist
Custom Made Wheelchairs
Day Habilitation
Day Support Services
DDS NON-MEDICAID
Dental Anesthesiology
Dental Centers
Dentist Individual - Dual Licensed Dentist and Licensed MD/DO.
Dentist Individual - Endodontics
Dentist Individual - General Dentistry
Dentist Individual - Oral Surgery
Dentist Individual - Orthodontics
Dentist Individual - Other
Dentist Individual - Pediatric Dentistry
Dentist Individual - Periodontics
Dentist Individual - Prosthodontics
Dentistry
Dentistry - Endodontist
Dentistry - Orthodontics
Dentistry - Prosthetics
Dermatology
Dermatology - Pathology
Dermatology Immunology/Diag
Dermotology-Wound Care ONLY
Dev Rehab Svs
Diabetes
Diagnostics
Dialysis - Professional
Dialysis - Technical
Dialysis Center
Dietician - Dietician
Disproportionate Share Hospital
DODD Waiver - Private Duty Nursing (Group)
Durable Medical Equipment (DME)
Durable Medical Equipment Supplier - DME Supplier
Durable Medical Equipment Supplier - DODD Waiver
Durable Medical Equipment Supplier - Home Medical Equipment
Durable Medical Equipment Supplier - ODA Waiver
Durable Medical Equipment Supplier - ODJFS Waiver Emergency Response System
Durable Medical Equipment Supplier - ODJFS Waiver Minor Home Modifications
Durable Medical Equipment Supplier - ODJFS Waiver Supplemental Adaptive and Assistive Devices
Durable Medical Equipment Supplier - ORCB Licensed DME Supplier
Durable Medical Equipment Supplier - Orthotics and Prosthetics
DYS-TCM Group
E&M Attestation (HB 76)
E&M Board Certified (ACA)
E&M Board Certified (HB 76)
E&M Newly Enrolled 60%(HB 751)
E&M Newly Enrolled Board Certified(HB 751)
Ear - Nose - Throat
Early Int. Day Tmt (EIDT)
Early Intervention - Individual
Emergency Department
Emergency Medicine
Endocrinology
Endodontics
End-Stage Renal Disease Dialysis Clinic - End-Stage Renal Disease Clinic
Epidemiology
EPSDT-Early Per Scr -Diag -Treat
Eye - Ear - Nose - Throat
Family Planning
Family Practice
Family Practice Geriatric Medicine
Federally Qualified Health Cen
Federally Qualified Health Center - FQHC Behavioral Health
Federally Qualified Health Center - FQHC Dental
Federally Qualified Health Center - FQHC Medical
Federally Qualified Health Center - FQHC Medical (Facility)
Federally Qualified Health Center (FQHC)
Fetal Monitoring Services
Fluoride Certification
FLUORIDE CERTIFICATION
Gastroenterology
Genetics
Geriatric Medicine
Geriatrics
Gerontology Primary Care NP
Gynecologic Endocrinology
Gynecologic Oncology
Gynecologic Urology
Gynecological Oncology
Gynecology
Health Check - Health Dept
Health Check – Originating Site Only
Health Check - Other
Hearing Aid Dealer
Hepatology
Home and Community Based Assisted Living - Community Transition
Home and Community Based Assisted Living - HCBS Assisted Living
Home Health
Home Health Agency
Home Infusion
Home Medical Equipment Waivered Svc Org
Home Modifications Maintenance and Repairs
Homemaker - Accredited Home Health Agency
Hospice - Hospice
Hospice & Palliative Medicine
Hospice Care-Outpatient
Hospital
Hospital - Childrens Hospital
Hospital - Distinct Part Psychiatric Unit
Hospital - General Hospital
Hospital - Inpatient Psychiatric Facility Services
Hospital - LTACH (Long Term Care Acute Hospital)
Hospital - Major Teaching Hospital
Hospital - Outpatient
Hospital - Pharmacy
Hospital - Psychiatric - Freestanding
Hospital-based Prof Services
Hospitalist
Hyperbaric Medicine
Imaging Facility
Imaging/Testing Facility - Independent Diagnostic Testing Facility (IDTF)
Immunology
Independent Laboratory - Independent Laboratory
Independent Laboratory - Qualified Entity
Independent Marriage and Family Therapist - CANS Assessor
Independent Marriage and Family Therapist - CANS Assessor (OhioRISE)
Independent Marriage and Family Therapist - Licensed Independent Marriage and Family Therapist
Independent Marriage and Family Therapist - Licensed Marriage/Family Counselor
Independent Marriage and Family Therapist - Marriage/Family Counselor Trainee
Independent Marriage and Family Therapist - Medicare Exempt
Independent Marriage and Family Therapist - Multi-Independent Licensure
Infectious Disease
Institutional Based
Internal Medicine
Internal Medicine CriticalCare
Internal Sports Medicine
Kentucky Department of Public Health
Kidney Transplant
Laboratory
Lactation Consultant
Laryngology
Legal Medicine
Lic Independ Practical Nurse
Lic Independ Registered Nurse
Lic OH Behavioral Analyst
Licensed Clinical Social Worker
Licensed Independent Chemical Dependency Counselor - CANS Assessor
Licensed Independent Chemical Dependency Counselor - CANS Assessor (OhioRISE)
Licensed Independent Chemical Dependency Counselor - Chemical Depend Counselor II
Licensed Independent Chemical Dependency Counselor - Chemical Dependency Counselor Assistant
Licensed Independent Chemical Dependency Counselor - Chemical Dependency Counselor III
Licensed Independent Chemical Dependency Counselor - Medicare Exempt
Licensed Independent Chemical Dependency Counselor - Multi-Dependent/Other Licensure
Licensed Independent Chemical Dependency Counselor - Multi-Independent Licensure
Licensed Independent Social Worker - CANS ASSessor
Licensed Independent Social Worker - CANS Assessor (OhioRISE)
Licensed Independent Social Worker - OhioRISE
Licensed Independent Social Worker (LISW) - Licensed Independent Social Worker
Licensed Independent Social Worker (LISW) - Licensed Social Worker
Licensed Independent Social Worker (LISW) - Medicare Exempt
Licensed Independent Social Worker (LISW) - Multi-Dependent/Other Licensure
Licensed Independent Social Worker (LISW) - Multi-Independent Licensure
Licensed Independent Social Worker (LISW) - Social Worker Assistant
Licensed Independent Social Worker (LISW) - Social Worker Trainee
Licensed Practical Nurse
Licensed Professional Art Ther
Long Term Care
Mammography
Managed Care Organization Panel Provider Only
Marriage/Family Therapist
MASTERS LEVEL CLINICIANS
Maternal & Fetal Medicine
Maternal/Fetal-Perinatal Partn
Medical Genetics
Medical Nuclear
Medical Oncology
Medical Supplies
Medicare Certified HHA
Medicare Certified Home Health Agency - Community Integration
Medicare Certified Home Health Agency - DODD TDD - Limited Waiver
Medicare Certified Home Health Agency - DODD Waiver
Medicare Certified Home Health Agency - Homemaker
Medicare Certified Home Health Agency - Medicare Certified Home Health Agency
Medicare Certified Home Health Agency - Medicare Certified Home Health Agency JFS Waiver Services
Medicare Certified Home Health Agency - ODA Waiver
Medicare Certified Home Health Agency - ODJFS Waiver
Medicare Certified Home Health Agency - ODJFS Waiver Adult Day Health
Medicare Certified Home Health Agency - ODJFS Waiver Emergency Response System
Medicare Certified Home Health Agency - ODJFS Waiver Supplemental Adaptive and Assistive Devices
Medicare Certified Home Health Agency - ODJFS Waiver Supplemental Transport Services
Medicare Certified Home Health Agency - Personal Care - Agency
Medicare Certified Home Health Agency - Social Work Counseling
Medicare Exempt
Mental Health
Mental Health Clinic - Other Mental Health Clinic
Mental Health Specialist
Methadone Maintenance Clinic
Methadone Program
Midwife
Multi-Specialty Group
Neonatology/Perinatal Medicine
Neopathology
Nephrology
Neurology
Neurology - Vascular
Neuropathology
Neurophysiology - Clinical
Neuropsychology - Clinical
Neuroradiology
Newborn Eligibility
Non-Agency Home Care Attendant - DODD Waiver
Non-Agency Personal Care Aide - DODD Waiver
Non-Agency Personal Care Aide - ODA Waiver
Non-Agency Personal Care Aide - Personal Care Services
Nuclear Cardiology
Nuclear Medicine
Nurse
Nurse Midwife - Contracted
Nurse Midwife - Non-Contracted
Nurse Midwife Individual - DME Supplier
Nurse Midwife Individual - Nurse Midwife
Nurse Practitioner - Geriatric
Nurse Practitioner - OB/GYN
Nurse Practitioner Clinic
Nurse Practitioner Individual - Acupuncture
Nurse Practitioner Individual - Acute Care
Nurse Practitioner Individual - Adult Health
Nurse Practitioner Individual - CPC - Pediatrics
Nurse Practitioner Individual - DATA 2000 Waiver Practitioners (MAT)
Nurse Practitioner Individual - DME Supplier
Nurse Practitioner Individual - DODD Waiver
Nurse Practitioner Individual - Family Practice
Nurse Practitioner Individual - Geriatric
Nurse Practitioner Individual - Neonatal - Perinatal Medicine
Nurse Practitioner Individual - Nurse Practitioner
Nurse Practitioner Individual - Obstetrics & Gynecology
Nurse Practitioner Individual - ORCB Licensed DME Supplier
Nurse Practitioner Individual - Orthotics and Prosthetics
Nurse Practitioner Individual - Palliative Care
Nurse Practitioner Individual - Pediatric
Nurse Practitioner Individual - Psych
Nurse Practitioner Individual - Psychiatric
Nurse Practitioner Individual - RN- ODJFS Waiver Home Care Nursing
Nurse Practitioner Individual - RN- Private Duty Nursing
Nursing
Nursing Facility - Dual Certified Skilled Nursing Facility
Nursing Facility - Medicaid Only Nursing Facility
Nutrition
OB/GYN
Obs & Gynecology Critical Care
Occupational Medicine
Occupational Medicine - Undersea
Occupational Therapist - Individual - Medicare Exempt
Occupational Therapist - Individual - Occupational Therapy
Occupational Therapy
Ocularists
ODA Waiver
ODADAS Certified/Licensed Treatment Program - MRSS - Mobile Response and Stabilization Service
ODADAS Certified/Licensed Treatment Program - ODADAS Certified/Licensed Treatment Program
ODADAS Certified/Licensed Treatment Program - ODADAS MARP Program
ODADAS Certified/Licensed Treatment Program - ODADAS Methadone Program
ODADAS Certified/Licensed Treatment Program - OPIOID Treatment Program
ODADAS Certified/Licensed Treatment Program - QBHE - Qualified ehavioral health Entity - Adult
ODADAS Certified/Licensed Treatment Program - QBHE - Qualified ehavioral health Entity - Child
ODADAS Certified/Licensed Treatment Program - QBHE - Qualified ehavioral health Entity - Child/Adult
ODADAS Certified/Licensed Treatment Program - SUD Residential Facility
ODMH Health Home
Ohio Department of Mental Health (Community Mental Health Provider - CANS Assessor)
Ohio Department of Mental Health (Community Mental Health Provider - CANS Assessor) (OhioRISE)
Ohio Department of Mental Health (Community Mental Health Provider - OhioRISE)
Ohio Department of Mental Health (Community Mental Health) Provider - Assertive Community Treatment
Ohio Department of Mental Health (Community Mental Health) Provider - Community Mental Health Med
Ohio Department of Mental Health (Community Mental Health) Provider - Community Mental Health Prof
Ohio Department of Mental Health (Community Mental Health) Provider - Intensive Home Based Treatment
Ohio Department of Mental Health (Community Mental Health) Provider - ODMH Community Health Agency
Ohio Department of Mental Health (Community Mental Health) Provider - Peer Services
Ohio Department of Mental Health (Community Mental Health) Provider - Supported Employment
Oncology
Oncology - Gynecologic
Oncology - Hematology
Oncology - Radiology
Opioid Treatment Program
Optician
Optician - Optical Company
Optician - Solo Practice Optician
Optometrist Individual - Optometry
Optometry
Oral Pathology
Orthodontic Prosthetics - Non A
Osteopathic Manipulative Med
Osteopathy
Other
Other Accred HHA/JFS Waiver
Other Accredited Home Health Agency - DODD TDD - Limited Waiver
Other Accredited Home Health Agency - DODD Waiver
Other Accredited Home Health Agency - Home Maintenance/Chore
Other Accredited Home Health Agency - Homemaker
Other Accredited Home Health Agency - ODA Waiver
Other Accredited Home Health Agency - ODJFS Waiver
Other Accredited Home Health Agency - ODJFS Waiver Emergency Response System
Other Accredited Home Health Agency - ODJFS Waiver Home Delivered Meals
Other Accredited Home Health Agency - ODJFS Waiver Out of Home Respite
Other Accredited Home Health Agency - Other Accredited Home Health Agency
Other Accredited Home Health Agency - Other Accredited Home Health Agency JFS Waiver Services
Other Accredited Home Health Agency - Personal Care - Agency
Otolaryngology (Ear - Nose & Throat)
Otolaryngology (Ear - Nose & Throat) Surgical Facility
Outpatient Rehab Center
Outpt Behav Hlth Agency
PACE - Prv All-Inclus Care Eld
Pain Management
Palliative Care
Para-Professionals - Para-Professional HS/GED
Para-Professionals - Para-Professional QMHS+3
PASSE HCBS/CSSP
Pathology
Pediatric Allergy & Immunology
Pediatric Cardiology
Pediatric Child Abuse
Pediatric Critical Care Medicine
Pediatric Dentist
Pediatric Dentistry
Pediatric Dermatology
Pediatric Developmental Behavior
Pediatric Ear - Nose - Throat
Pediatric Emergency Medicine
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Hematology/Oncology
Pediatric Infectious Disease
Pediatric Internal Medicine
Pediatric Neonatology
Pediatric Nephrology
Pediatric Neurodevelopment
Pediatric Neuro-Developmental Disability
Pediatric Neurology
Pediatric Ophthalmology
Pediatric Orthopedics
Pediatric Otolaryngology (Ear - Nose & Throat)
Pediatric Pathology
Pediatric Psychiatry
Pediatric Psychology
Pediatric Pulmonology
Pediatric Radiology
Pediatric Rehabilitation Medicine
Pediatric Rheumatology
Pediatric Sports Medicine
Pediatric Surgery
Pediatric Surgery - Neurosurgery
Pediatric Surgery - Orthopedic
Pediatric Urology
Pediatrics
Peer Services
Perinatology
Periodontics
Periph Vascular Disease
Personal Assistance Services
Personal Care
Personal Care Attendant Svcs
Personal Support
Pharmacist
Pharmacist Individual
Pharmacy
Pharmacy - 340B PHARMACY
Pharmacy - DME Supplier
Pharmacy - DODD Waiver
Pharmacy - Home Infusion
Pharmacy - ODA Waiver
Pharmacy - ODJFS Waiver Supplemental Adaptive and Assistive Devices
Pharmacy - ORCB Licensed DME Supplier
Pharmacy - Orthotics and Prosthetics
Pharmacy - Pharmacy
Phychology - Geriatric
Physical Rehabilitation Medicine
Physical Therapist
Physical Therapist - Individual - Medicare Exempt
Physical Therapist - Individual - Physical Therapy
Physical Therapist Individual - Acupuncture
Physical Therapy
Physical Therapy & Rehabilitation
Physician Assistant
Physician Assistant - Acupuncture
Physician Assistant - Anesthesia
Physician Assistant - CPC - Pediatrics
Physician Assistant - DATA 2000 Waiver Practitioners (MAT)
Physician Assistant - Physician Assistant
Physician Osteopath Individual - Obstetrics & Gynecology
Physician/Osteopath Individual - ACA Primary Care (Attestation Required)
Physician/Osteopath Individual - Acupuncture
Physician/Osteopath Individual - Addiction Medicine
Physician/Osteopath Individual - Addiction Psychiatry
Physician/Osteopath Individual - Adult Reconstructive Orthopedics
Physician/Osteopath Individual - Allergy
Physician/Osteopath Individual - Allergy & Immunology
Physician/Osteopath Individual - Anatomic Pathology
Physician/Osteopath Individual - Anatomic/Clinical Pathology
Physician/Osteopath Individual - Anesthesiology
Physician/Osteopath Individual - Cardiology
Physician/Osteopath Individual - Cardiothoracic Surgery
Physician/Osteopath Individual - Cardiovascular Disease
Physician/Osteopath Individual - Cardiovascular Surgery
Physician/Osteopath Individual - Child & Adolescent Psychiatry
Physician/Osteopath Individual - Child Neurology
Physician/Osteopath Individual - Clinical Cardiac Electrophysiology
Physician/Osteopath Individual - Clinical Cytogenetics
Physician/Osteopath Individual - Clinical Neurophysiology
Physician/Osteopath Individual - Clinical Pathology
Physician/Osteopath Individual - Colon & Rectal Surgery
Physician/Osteopath Individual - Critical Care Med. (Neurological Sur.)
Physician/Osteopath Individual - Critical Care Med.(Anesthesiology)
Physician/Osteopath Individual - Critical Care Med.(Internal Med.)
Physician/Osteopath Individual - Cytopathology
Physician/Osteopath Individual - DATA 2000 Waiver Practitioners
Physician/Osteopath Individual - DATA 2000 Waiver Practitioners (MAT)
Physician/Osteopath Individual - Dermatologic Surgery
Physician/Osteopath Individual - Dermatology
Physician/Osteopath Individual - Dermatopathology (Pathology)
Physician/Osteopath Individual - Diagnostic Radiology
Physician/Osteopath Individual - DME Supplier
Physician/Osteopath Individual - Dual Licensed Dentist and Licensed MD/DO.
Physician/Osteopath Individual - Emergency Medicine
Physician/Osteopath Individual - Endocrinology/Diabetes & Metabolism
Physician/Osteopath Individual - Facial Plastic Surgery
Physician/Osteopath Individual - Family Practice
Physician/Osteopath Individual - Gastroenterology
Physician/Osteopath Individual - General Practice
Physician/Osteopath Individual - General Preventive Medicine
Physician/Osteopath Individual - Geriatric
Physician/Osteopath Individual - Gynecological Oncology
Physician/Osteopath Individual - Gynecology
Physician/Osteopath Individual - Hand Surgery
Physician/Osteopath Individual - Hematology
Physician/Osteopath Individual - Hematology/Oncology
Physician/Osteopath Individual - Hepatology
Physician/Osteopath Individual - Immunopathology
Physician/Osteopath Individual - Infectious Disease
Physician/Osteopath Individual - Internal Medicine
Physician/Osteopath Individual - Internal Medicine/Pediatrics
Physician/Osteopath Individual - Maternal & Fetal Medicine
Physician/Osteopath Individual - Neonatal - Perinatal Medicine
Physician/Osteopath Individual - Nephrology
Physician/Osteopath Individual - Neurology
Physician/Osteopath Individual - Neuropathology
Physician/Osteopath Individual - Neuroradiology
Physician/Osteopath Individual - Nuclear Medicine
Physician/Osteopath Individual - Obstetrics
Physician/Osteopath Individual - Obstetrics & Gynecology
Physician/Osteopath Individual - Occupational Medicine
Physician/Osteopath Individual - Oncology
Physician/Osteopath Individual - Ophthalmology
Physician/Osteopath Individual - Ophthalmology (including routine eye exam)
Physician/Osteopath Individual - ORCB Licensed DME Supplier
Physician/Osteopath Individual - Orthopedic Surgery
Physician/Osteopath Individual - Orthopedic Surgery of the Spine
Physician/Osteopath Individual - Orthopedic Trauma
Physician/Osteopath Individual - Orthotics and Prosthetics
Physician/Osteopath Individual - Osteopathic Manipulative Medicine
Physician/Osteopath Individual - Otolaryngology
Physician/Osteopath Individual - Pain Medicine
Physician/Osteopath Individual - Palliative Medicine
Physician/Osteopath Individual - Pediatric
Physician/Osteopath Individual - Pediatric Allergy
Physician/Osteopath Individual - Pediatric Cardiology
Physician/Osteopath Individual - Pediatric Critical Care Medicine
Physician/Osteopath Individual - Pediatric Emergency Medicine
Physician/Osteopath Individual - Pediatric Endocrinology
Physician/Osteopath Individual - Pediatric Gastroenterology
Physician/Osteopath Individual - Pediatric Hematology/ Oncology
Physician/Osteopath Individual - Pediatric Infectious Disease
Physician/Osteopath Individual - Pediatric Nephrology
Physician/Osteopath Individual - Pediatric Ophthalmology
Physician/Osteopath Individual - Pediatric Orthopedics
Physician/Osteopath Individual - Pediatric Otolaryngology
Physician/Osteopath Individual - Pediatric Pathology
Physician/Osteopath Individual - Pediatric Pulmonology
Physician/Osteopath Individual - Pediatric Radiology
Physician/Osteopath Individual - Pediatric Rheumatology
Physician/Osteopath Individual - Pediatric Surgery
Physician/Osteopath Individual - Pediatric Urology
Physician/Osteopath Individual - Physical Medicine & Rehabilitation
Physician/Osteopath Individual - Physician/Osteopath Individual
Physician/Osteopath Individual - Psychiatric
Physician/Osteopath Individual - Pulmonary Critical Care Medicine
Physician/Osteopath Individual - Pulmonary Disease
Physician/Osteopath Individual - Radiation Oncology
Physician/Osteopath Individual - Radiology
Physician/Osteopath Individual - Reproductive Endocrinology
Physician/Osteopath Individual - Rheumatology
Physician/Osteopath Individual - Selective Pathology
Physician/Osteopath Individual - Sports Medicine (Emer. Med.)
Physician/Osteopath Individual - Sports Medicine (Family Practice)
Physician/Osteopath Individual - Sports Medicine (Internal Medicine)
Physician/Osteopath Individual - Sports Medicine (Orthopedic Surgery)
Physician/Osteopath Individual - Sports Medicine (Pediatrics)
Physician/Osteopath Individual - Surgical Critical Care(Surgery)
Physician/Osteopath Individual - Surgical Oncology
Physician/Osteopath Individual - Thoracic Surgery
Physician/Osteopath Individual - Transplant Surgery
Physician/Osteopath Individual - Trauma Surgery
Physician/Osteopath Individual - Unspecified
Physician/Osteopath Individual - Urology
Physician/Osteopath Individual - Vascular & Interventional
Physician/Osteopath Individual - Vascular Surgery
Plastic Surgery Hand Surgery
Podiatrist Individual - DME Supplier
Podiatrist Individual - Orthotics and Prosthetics
Podiatrist Individual - Podiatry
Podiatry
Portable X-Ray Supplier - Portable X-Ray Services
Pregnancy Related Services
Presumptive Eligibility
Preventive Medicine
Primary Care Clinic
Private Duty Nurse
Private Duty Nurse - Behavioral Health LPN
Private Duty Nurse - Behavioral Health RN
Private Duty Nurse - LPN - ODJFS Waiver Home Care Nursing
Private Duty Nurse - LPN - Private Duty Nursing
Private Duty Nurse - Multi-Dependent/Other Licensure
Private Duty Nurse - ODA Waiver
Private Duty Nurse - RN- ODJFS Waiver Home Care Nursing
Private Duty Nurse - RN- Private Duty Nursing
Proctologist
Professional Clinical Counselor - CANS Assessor
Professional Clinical Counselor - CANS Assessor (OhioRISE)
Professional Clinical Counselor - Counselor Trainee
Professional Clinical Counselor - Licensed Professional Clinical Counselor
Professional Clinical Counselor - Licensed Professional Counselor
Professional Clinical Counselor - Medicare Exempt
Professional Clinical Counselor - Multi-Dependent/Other Licensure
Professional Clinical Counselor - Multi-Independent Licensure
Professional Clinical Counselor - OhioRISE
Professional Dental Group - Professional Dental Group
Professional Medical Group - 340B
Professional Medical Group - Certified Ohio Behavior Analyst
Professional Medical Group - CPC - Practice Partnership
Professional Medical Group - CPC - Single Practice
Professional Medical Group - OhioRISE
Professional Medical Group - OhioRISE Care Management Entity
Professional Medical Group - Professional Medical Group
Prosthetic/Orthotic
Prosthodontics
PRS High School
PRS QMHS High School
Psychiatric Hospital - IMD
Psychiatric Hospital - Inpatient Psychiatric Facility Services
Psychiatric Hospital - OhioRISE Care Management Entity
Psychiatric Nurse
Psychiatry
Psychiatry - Board Certified
Psychiatry - Facility
Psychiatry - Forensic
Psychiatry - Geriatric
Psychologist Individual - Board Licensed School Psychologist
Psychologist Individual - CANS Assessor
Psychologist Individual - CANS Assessor (OhioRISE)
Psychologist Individual - Medicare Exempt
Psychologist Individual - Multi-Independent Licensure
Psychologist Individual - Psychology
Psychologist Individual - Psychology Assistant
Psychologist Individual - Psychology Intern
Psychologist Individual - Psychology Trainee
Psychology
Psychology - HSPP
Psychology - Neuropsychology
Public Health
Public Health Dentistry
Pulmonary Medicine
QMH3 High School
QMHS Bachelors
QMHS High School
QMHS Masters
QMHS QMH3 High School
QMHS QMH3 Masters
Qualified Non-Par Labs
Radiological Physics
Radiology
Radiology Diagnostics Center
Radiology-Mobile Unit
Reg Noncredentialed Providers
REGISTERED NON-CREDENTIALED
Registered Nurse
Rehabilitation Clinic
Rehabilitation Hospital
Rehabilitation Services
Reproductive Endocrinology
RESIDENT
Residential Training and Super
Residential Treatment Center
Residential Treatment Facility
Respite Care
Respite Care - Out of Home
Retail Clinic
RHC Medical and Behavioral Health - Rural Health Clinic Medical
Rheumatology
Rural Health
Rural Health Center
Rural Health Clinic
School-Child Health Svcs
Skilled Nurse Services
Skilled Nursing Facility
Skilled Nursing/Extended Care
Sleep Medicine
Social Work Counseling
Social Worker
Social Worker - Psychiatric
Social Worker LISW/LCSW
Speech & Hearing
Speech Language Pathologist
Speech Language Pathologist - Individual - Medicare Exempt
Speech Language Pathologist - Individual - Speech Language Pathology/Therapy
Sports Medicine
State of Ohio Department Agency - ODADAS (Ohio Department of Alcohol and Drug Addiction Services)
Substance Abuse Treatment Facility
SUD Resid Addiction Trmt Fac
SUD Residential Addiction Trea
Supplier Prosthetic/Orthotic
Supported Employment
Surgery
Surgery - Cardiovascular
Surgery - Colon & Rectal
Surgery - Critical Care
Surgery - General
Surgery - Hand
Surgery - Neurosurgery
Surgery - Oncology
Surgery - Oral
Surgery - Oral Maxillofacial
Surgery - Orthopedic
Surgery - Plastic
Surgery - Podiatric
Surgery - Thoracic
Surgery - Transplant
Surgery - Trauma
Surgery - Vascular
Surgical - Critical Care
Swingbed Hospital
Telemedicine
Telemedicine Presentation Site
Teleradiology
Thoracic Surgery
Transportation Encounter/Trip Transport-Enc-Trip
Urgent Care / After Hours
Urgent Care Center
Urogynecology
Urology
Vascular Surgery
VENTILATOR EQUIPMENT
Vision - Ophthalmology
Vision - Optical Supplier
Vision - Optometry
Vision Centers
Vision Supplier
W - DATA 2000 Waiver Practitio
W - DODD TDD Limited Waiver
W - DODD Waiver
W-Adult Day Health/Assist Liv
Waivered Services Individual - DODD Waiver
Waivered Services Individual - ODA Waiver
Waivered Services Individual - ODM Waiver Supplemental Transport Services
Waivered Services Organization - Community Integration
Waivered Services Organization - Community Transition
Waivered Services Organization - DODD TDD - Limited Waiver
Waivered Services Organization - DODD Waiver
Waivered Services Organization - Enhanced Community Living
Waivered Services Organization - HCBS Assisted Living
Waivered Services Organization - Home Maintenance/Chore
Waivered Services Organization - Home Medical Equipment
Waivered Services Organization - Homemaker
Waivered Services Organization - ODA Waiver
Waivered Services Organization - ODJFS Waiver
Waivered Services Organization - ODJFS Waiver Adult Day Health
Waivered Services Organization - ODJFS Waiver Emergency Response System
Waivered Services Organization - ODJFS Waiver Home Delivered Meals
Waivered Services Organization - ODJFS Waiver Minor Home Modifications
Waivered Services Organization - ODJFS Waiver Out of Home Respite
Waivered Services Organization - ODJFS Waiver Supplemental Adaptive and Assistive Devices
Waivered Services Organization - ODJFS Waiver Supplemental Transport Services
Waivered Services Organization - ODM Waiver Non-Agency Personal Care Aide
Waivered Services Organization - OhioRISE
Waivered Services Organization - Peer Services
Waivered Services Organization - Personal Care - Agency
Waivered Services Organization - Social Work Counseling
Waivered Services Organization - Supported Employment
W-Assisted Living
W-Chore Services
W-Community Transition
W-Emergency Response
Wheelchair Van - DODD Waiver
Wheelchair Van - JSF Waiver Supplemental Transport Services
Wheelchair Van - ODA Waiver
Wheelchair Van - Wheelchair Van
W-Home Delivered Meals
W-Home Medical Equipment
W-Home Mod/Maint/Repair
W-Homemaker
W-LPN Home Care/JFS Waiver
W-LPN Private Duty Nurse
W-LTSS Agency Personal Care
W-LTSS Agency Waiver Nursing
W-LTSS Ind Prov Home Care Atd
W-LTSS Ind Prov Waiver Nursing
W-LTSS Indep Prov Personal Car
W-Medicare Cert HHA/JFS Waiv
W-Medicare Certified HHA
W-Nursing Facility-Waiver Svc
W-Nutritional Consultation
W-ODA Waiver
W-ODJFS Waiver
W-Other Accred HHA/JFS Waiver
W-Other Accredited HHA
W-Out of Home Respite
W-Supp Adapt/Assist Dev/JFS W
W-Supplemental Transport Svc
W-Supplmnt Adapt & Assist Dev
W-Waiver Transportation
Reason For Opportunity
4) Would you like to recommend a provider to the CareSource network?
First Name:
Last Name:
Address Line 1:
Address Line 2:
City:
ZIP:
State:
Please select
Indiana
Kentucky
Ohio
West Virginia
Georgia
Arkansas
County:
Specialty:
Please select
ABA Therapist
ACA PE Children Under Age 19
ACS Enviro Mods-Adap Equip
ACS Waiver Crisis Intervention
ACS W-CASE MGMT-TRAN CASE
ACS W-CONSULTATION SERVICE
ACS W-ORG HLTH CARE DELIV SYS
Acupuncture
Acute Care Nurse Practitioner
Addiction Medicine
Addiction Medicine (Fam Med)
Addiction Medicine (Int Med)
Addiction Medicine (Primary)
Addiction Psychiatry
Administrative Medicine
Adolescent Medicine
Adult Day Care
Adult Dev Day Tmt (ADDT)
Adv Hrt Failure & Trns Crdlgy
Advanced Practice Nursing
Allergy & Immunology
Alternative Living Services
Alternative Meals Choices Home
Ambulance
Ambulance - Ambulance Services
Ambulance - Ground Ambulance
Ambulance - Rotary-Wing Air Ambulance
Ambulance - Wheelchair Van
Ambulatory
Ambulatory Surgery Center
Ambulatory Surgery Center - Ambulatory Surgery Center
Anesthesia Assistant Individual - Anesthesia Assistant Individual
Anesthesiologist Assistant
Anesthesiology
Anesthesiology Critical Care Medicine
Assisted Living / Adult Day Health Care
Athletic Trainer - Certified
Audiology
Autism Spectrum Disorder
BCBA PARAPROFESSIONAL
Behav Support Consult Self-dir Behav-Supp-Cons-Se
Behavioral Health
Behavioral Health - Addiction Medicine
Behavioral Health - Child & Adolescent Psychiatry
Behavioral Health - Counseling
Behavioral Health - Health Center
Behavioral Health - Marriage & Family Therapy
Behavioral Health - Nurse
Behavioral Health Para-Professionals - CANS Assessor
Behavioral Health Para-Professionals - CANS Assessor (OhioRISE)
Behavioral Health Para-Professionals - Care Management Specialist
Behavioral Health Para-Professionals - Peer Recovery Supporter
Behavioral Health Para-Professionals - Qualified MH Specialist
Behavioral Health Para-Professionals - Qualified MH Specialist 3
Behavioral Mgmt Svcs. Pediatric
Birthing Center
Cardiac Catheterization Servic
Cardiac Electrophysiology
Cardiac Intensive Care Unit
Cardiology/Cardiovascular Disease
Case Management
CBAY (Community-Based Alternatives for Youth)
Cert Registered Nurse Anesthetist
Certified BCBA-Behav Analyst
Certified OH Behavioral Analyst - Behavior Analyst
Certified Ohio Behavior Analyst
Certified Registered Nurse Anesthestist (CRNA) Individual - Anesthesia CRNA
Certified Registered Nurse Anesthestist (CRNA) Individual - DME Supplier
Chemotherapy/Infusion Therapy
CHILD HLTH MGMT SVCS
Children Intensive Behavioral
Children Intensive Behavioral Health Services
Chiropractor
Chiropractor Individual - Acupuncture
Chiropractor Individual - Chiropractic Services
Clinic - DODD Waiver
Clinic - Family Planning Clinic
Clinic - ODA Waiver
Clinic - ODJFS Waiver Home Delivered Meals
Clinic - Primary Care Clinic
Clinic or Group Practice
Clinic or other Group Practice
Clinical Cardiac Electrophysiology
Clinical Counselor
Clinical Cytogenetics
Clinical Genetics
Clinical Neurophysiology
Clinical Nurse Specialist
Clinical Nurse Specialist Individual - Acupuncture
Clinical Nurse Specialist Individual - Acute Care
Clinical Nurse Specialist Individual - Adult Health
Clinical Nurse Specialist Individual - Clinical Nurse Specialist
Clinical Nurse Specialist Individual - Geriatric
Clinical Nurse Specialist Individual - Oncology
Clinical Nurse Specialist Individual - Palliative Care
Clinical Nurse Specialist Individual - Pediatric
Clinical Nurse Specialist Individual - PSYCH
Clinical Nurse Specialist Individual - Psychiatric
CMS QMHS Bachelors
CMS QMHS High School
Colon & Rectal Surgery
Community Access Community-Access
Community Health Centers
Community Mental Health
Community Services and Support
Comprehensive Primary Care (CPC) - CPC - Behavioral Health - Child & Adult
CONSULTANT (AIIC)
Counseling - Clinical
County Health Department
Critical Access Hospital
Critical Care Medicine
Critical Care OB/GYN
CRNA Anesthetist
Custom Made Wheelchairs
Day Habilitation
Day Support Services
DDS NON-MEDICAID
Dental Anesthesiology
Dental Centers
Dentist Individual - Dual Licensed Dentist and Licensed MD/DO.
Dentist Individual - Endodontics
Dentist Individual - General Dentistry
Dentist Individual - Oral Surgery
Dentist Individual - Orthodontics
Dentist Individual - Other
Dentist Individual - Pediatric Dentistry
Dentist Individual - Periodontics
Dentist Individual - Prosthodontics
Dentistry
Dentistry - Endodontist
Dentistry - Orthodontics
Dentistry - Prosthetics
Dermatology
Dermatology - Pathology
Dermatology Immunology/Diag
Dermotology-Wound Care ONLY
Dev Rehab Svs
Diabetes
Diagnostics
Dialysis - Professional
Dialysis - Technical
Dialysis Center
Dietician - Dietician
Disproportionate Share Hospital
DODD Waiver - Private Duty Nursing (Group)
Durable Medical Equipment (DME)
Durable Medical Equipment Supplier - DME Supplier
Durable Medical Equipment Supplier - DODD Waiver
Durable Medical Equipment Supplier - Home Medical Equipment
Durable Medical Equipment Supplier - ODA Waiver
Durable Medical Equipment Supplier - ODJFS Waiver Emergency Response System
Durable Medical Equipment Supplier - ODJFS Waiver Minor Home Modifications
Durable Medical Equipment Supplier - ODJFS Waiver Supplemental Adaptive and Assistive Devices
Durable Medical Equipment Supplier - ORCB Licensed DME Supplier
Durable Medical Equipment Supplier - Orthotics and Prosthetics
DYS-TCM Group
E&M Attestation (HB 76)
E&M Board Certified (ACA)
E&M Board Certified (HB 76)
E&M Newly Enrolled 60%(HB 751)
E&M Newly Enrolled Board Certified(HB 751)
Ear - Nose - Throat
Early Int. Day Tmt (EIDT)
Early Intervention - Individual
Emergency Department
Emergency Medicine
Endocrinology
Endodontics
End-Stage Renal Disease Dialysis Clinic - End-Stage Renal Disease Clinic
Epidemiology
EPSDT-Early Per Scr -Diag -Treat
Eye - Ear - Nose - Throat
Family Planning
Family Practice
Family Practice Geriatric Medicine
Federally Qualified Health Cen
Federally Qualified Health Center - FQHC Behavioral Health
Federally Qualified Health Center - FQHC Dental
Federally Qualified Health Center - FQHC Medical
Federally Qualified Health Center - FQHC Medical (Facility)
Federally Qualified Health Center (FQHC)
Fetal Monitoring Services
Fluoride Certification
FLUORIDE CERTIFICATION
Gastroenterology
Genetics
Geriatric Medicine
Geriatrics
Gerontology Primary Care NP
Gynecologic Endocrinology
Gynecologic Oncology
Gynecologic Urology
Gynecological Oncology
Gynecology
Health Check - Health Dept
Health Check – Originating Site Only
Health Check - Other
Hearing Aid Dealer
Hepatology
Home and Community Based Assisted Living - Community Transition
Home and Community Based Assisted Living - HCBS Assisted Living
Home Health
Home Health Agency
Home Infusion
Home Medical Equipment Waivered Svc Org
Home Modifications Maintenance and Repairs
Homemaker - Accredited Home Health Agency
Hospice - Hospice
Hospice & Palliative Medicine
Hospice Care-Outpatient
Hospital
Hospital - Childrens Hospital
Hospital - Distinct Part Psychiatric Unit
Hospital - General Hospital
Hospital - Inpatient Psychiatric Facility Services
Hospital - LTACH (Long Term Care Acute Hospital)
Hospital - Major Teaching Hospital
Hospital - Outpatient
Hospital - Pharmacy
Hospital - Psychiatric - Freestanding
Hospital-based Prof Services
Hospitalist
Hyperbaric Medicine
Imaging Facility
Imaging/Testing Facility - Independent Diagnostic Testing Facility (IDTF)
Immunology
Independent Laboratory - Independent Laboratory
Independent Laboratory - Qualified Entity
Independent Marriage and Family Therapist - CANS Assessor
Independent Marriage and Family Therapist - CANS Assessor (OhioRISE)
Independent Marriage and Family Therapist - Licensed Independent Marriage and Family Therapist
Independent Marriage and Family Therapist - Licensed Marriage/Family Counselor
Independent Marriage and Family Therapist - Marriage/Family Counselor Trainee
Independent Marriage and Family Therapist - Medicare Exempt
Independent Marriage and Family Therapist - Multi-Independent Licensure
Infectious Disease
Institutional Based
Internal Medicine
Internal Medicine CriticalCare
Internal Sports Medicine
Kentucky Department of Public Health
Kidney Transplant
Laboratory
Lactation Consultant
Laryngology
Legal Medicine
Lic Independ Practical Nurse
Lic Independ Registered Nurse
Lic OH Behavioral Analyst
Licensed Clinical Social Worker
Licensed Independent Chemical Dependency Counselor - CANS Assessor
Licensed Independent Chemical Dependency Counselor - CANS Assessor (OhioRISE)
Licensed Independent Chemical Dependency Counselor - Chemical Depend Counselor II
Licensed Independent Chemical Dependency Counselor - Chemical Dependency Counselor Assistant
Licensed Independent Chemical Dependency Counselor - Chemical Dependency Counselor III
Licensed Independent Chemical Dependency Counselor - Medicare Exempt
Licensed Independent Chemical Dependency Counselor - Multi-Dependent/Other Licensure
Licensed Independent Chemical Dependency Counselor - Multi-Independent Licensure
Licensed Independent Social Worker - CANS ASSessor
Licensed Independent Social Worker - CANS Assessor (OhioRISE)
Licensed Independent Social Worker - OhioRISE
Licensed Independent Social Worker (LISW) - Licensed Independent Social Worker
Licensed Independent Social Worker (LISW) - Licensed Social Worker
Licensed Independent Social Worker (LISW) - Medicare Exempt
Licensed Independent Social Worker (LISW) - Multi-Dependent/Other Licensure
Licensed Independent Social Worker (LISW) - Multi-Independent Licensure
Licensed Independent Social Worker (LISW) - Social Worker Assistant
Licensed Independent Social Worker (LISW) - Social Worker Trainee
Licensed Practical Nurse
Licensed Professional Art Ther
Long Term Care
Mammography
Managed Care Organization Panel Provider Only
Marriage/Family Therapist
MASTERS LEVEL CLINICIANS
Maternal & Fetal Medicine
Maternal/Fetal-Perinatal Partn
Medical Genetics
Medical Nuclear
Medical Oncology
Medical Supplies
Medicare Certified HHA
Medicare Certified Home Health Agency - Community Integration
Medicare Certified Home Health Agency - DODD TDD - Limited Waiver
Medicare Certified Home Health Agency - DODD Waiver
Medicare Certified Home Health Agency - Homemaker
Medicare Certified Home Health Agency - Medicare Certified Home Health Agency
Medicare Certified Home Health Agency - Medicare Certified Home Health Agency JFS Waiver Services
Medicare Certified Home Health Agency - ODA Waiver
Medicare Certified Home Health Agency - ODJFS Waiver
Medicare Certified Home Health Agency - ODJFS Waiver Adult Day Health
Medicare Certified Home Health Agency - ODJFS Waiver Emergency Response System
Medicare Certified Home Health Agency - ODJFS Waiver Supplemental Adaptive and Assistive Devices
Medicare Certified Home Health Agency - ODJFS Waiver Supplemental Transport Services
Medicare Certified Home Health Agency - Personal Care - Agency
Medicare Certified Home Health Agency - Social Work Counseling
Medicare Exempt
Mental Health
Mental Health Clinic - Other Mental Health Clinic
Mental Health Specialist
Methadone Maintenance Clinic
Methadone Program
Midwife
Multi-Specialty Group
Neonatology/Perinatal Medicine
Neopathology
Nephrology
Neurology
Neurology - Vascular
Neuropathology
Neurophysiology - Clinical
Neuropsychology - Clinical
Neuroradiology
Newborn Eligibility
Non-Agency Home Care Attendant - DODD Waiver
Non-Agency Personal Care Aide - DODD Waiver
Non-Agency Personal Care Aide - ODA Waiver
Non-Agency Personal Care Aide - Personal Care Services
Nuclear Cardiology
Nuclear Medicine
Nurse
Nurse Midwife - Contracted
Nurse Midwife - Non-Contracted
Nurse Midwife Individual - DME Supplier
Nurse Midwife Individual - Nurse Midwife
Nurse Practitioner - Geriatric
Nurse Practitioner - OB/GYN
Nurse Practitioner Clinic
Nurse Practitioner Individual - Acupuncture
Nurse Practitioner Individual - Acute Care
Nurse Practitioner Individual - Adult Health
Nurse Practitioner Individual - CPC - Pediatrics
Nurse Practitioner Individual - DATA 2000 Waiver Practitioners (MAT)
Nurse Practitioner Individual - DME Supplier
Nurse Practitioner Individual - DODD Waiver
Nurse Practitioner Individual - Family Practice
Nurse Practitioner Individual - Geriatric
Nurse Practitioner Individual - Neonatal - Perinatal Medicine
Nurse Practitioner Individual - Nurse Practitioner
Nurse Practitioner Individual - Obstetrics & Gynecology
Nurse Practitioner Individual - ORCB Licensed DME Supplier
Nurse Practitioner Individual - Orthotics and Prosthetics
Nurse Practitioner Individual - Palliative Care
Nurse Practitioner Individual - Pediatric
Nurse Practitioner Individual - Psych
Nurse Practitioner Individual - Psychiatric
Nurse Practitioner Individual - RN- ODJFS Waiver Home Care Nursing
Nurse Practitioner Individual - RN- Private Duty Nursing
Nursing
Nursing Facility - Dual Certified Skilled Nursing Facility
Nursing Facility - Medicaid Only Nursing Facility
Nutrition
OB/GYN
Obs & Gynecology Critical Care
Occupational Medicine
Occupational Medicine - Undersea
Occupational Therapist - Individual - Medicare Exempt
Occupational Therapist - Individual - Occupational Therapy
Occupational Therapy
Ocularists
ODA Waiver
ODADAS Certified/Licensed Treatment Program - MRSS - Mobile Response and Stabilization Service
ODADAS Certified/Licensed Treatment Program - ODADAS Certified/Licensed Treatment Program
ODADAS Certified/Licensed Treatment Program - ODADAS MARP Program
ODADAS Certified/Licensed Treatment Program - ODADAS Methadone Program
ODADAS Certified/Licensed Treatment Program - OPIOID Treatment Program
ODADAS Certified/Licensed Treatment Program - QBHE - Qualified ehavioral health Entity - Adult
ODADAS Certified/Licensed Treatment Program - QBHE - Qualified ehavioral health Entity - Child
ODADAS Certified/Licensed Treatment Program - QBHE - Qualified ehavioral health Entity - Child/Adult
ODADAS Certified/Licensed Treatment Program - SUD Residential Facility
ODMH Health Home
Ohio Department of Mental Health (Community Mental Health Provider - CANS Assessor)
Ohio Department of Mental Health (Community Mental Health Provider - CANS Assessor) (OhioRISE)
Ohio Department of Mental Health (Community Mental Health Provider - OhioRISE)
Ohio Department of Mental Health (Community Mental Health) Provider - Assertive Community Treatment
Ohio Department of Mental Health (Community Mental Health) Provider - Community Mental Health Med
Ohio Department of Mental Health (Community Mental Health) Provider - Community Mental Health Prof
Ohio Department of Mental Health (Community Mental Health) Provider - Intensive Home Based Treatment
Ohio Department of Mental Health (Community Mental Health) Provider - ODMH Community Health Agency
Ohio Department of Mental Health (Community Mental Health) Provider - Peer Services
Ohio Department of Mental Health (Community Mental Health) Provider - Supported Employment
Oncology
Oncology - Gynecologic
Oncology - Hematology
Oncology - Radiology
Opioid Treatment Program
Optician
Optician - Optical Company
Optician - Solo Practice Optician
Optometrist Individual - Optometry
Optometry
Oral Pathology
Orthodontic Prosthetics - Non A
Osteopathic Manipulative Med
Osteopathy
Other
Other Accred HHA/JFS Waiver
Other Accredited Home Health Agency - DODD TDD - Limited Waiver
Other Accredited Home Health Agency - DODD Waiver
Other Accredited Home Health Agency - Home Maintenance/Chore
Other Accredited Home Health Agency - Homemaker
Other Accredited Home Health Agency - ODA Waiver
Other Accredited Home Health Agency - ODJFS Waiver
Other Accredited Home Health Agency - ODJFS Waiver Emergency Response System
Other Accredited Home Health Agency - ODJFS Waiver Home Delivered Meals
Other Accredited Home Health Agency - ODJFS Waiver Out of Home Respite
Other Accredited Home Health Agency - Other Accredited Home Health Agency
Other Accredited Home Health Agency - Other Accredited Home Health Agency JFS Waiver Services
Other Accredited Home Health Agency - Personal Care - Agency
Otolaryngology (Ear - Nose & Throat)
Otolaryngology (Ear - Nose & Throat) Surgical Facility
Outpatient Rehab Center
Outpt Behav Hlth Agency
PACE - Prv All-Inclus Care Eld
Pain Management
Palliative Care
Para-Professionals - Para-Professional HS/GED
Para-Professionals - Para-Professional QMHS+3
PASSE HCBS/CSSP
Pathology
Pediatric Allergy & Immunology
Pediatric Cardiology
Pediatric Child Abuse
Pediatric Critical Care Medicine
Pediatric Dentist
Pediatric Dentistry
Pediatric Dermatology
Pediatric Developmental Behavior
Pediatric Ear - Nose - Throat
Pediatric Emergency Medicine
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Hematology/Oncology
Pediatric Infectious Disease
Pediatric Internal Medicine
Pediatric Neonatology
Pediatric Nephrology
Pediatric Neurodevelopment
Pediatric Neuro-Developmental Disability
Pediatric Neurology
Pediatric Ophthalmology
Pediatric Orthopedics
Pediatric Otolaryngology (Ear - Nose & Throat)
Pediatric Pathology
Pediatric Psychiatry
Pediatric Psychology
Pediatric Pulmonology
Pediatric Radiology
Pediatric Rehabilitation Medicine
Pediatric Rheumatology
Pediatric Sports Medicine
Pediatric Surgery
Pediatric Surgery - Neurosurgery
Pediatric Surgery - Orthopedic
Pediatric Urology
Pediatrics
Peer Services
Perinatology
Periodontics
Periph Vascular Disease
Personal Assistance Services
Personal Care
Personal Care Attendant Svcs
Personal Support
Pharmacist
Pharmacist Individual
Pharmacy
Pharmacy - 340B PHARMACY
Pharmacy - DME Supplier
Pharmacy - DODD Waiver
Pharmacy - Home Infusion
Pharmacy - ODA Waiver
Pharmacy - ODJFS Waiver Supplemental Adaptive and Assistive Devices
Pharmacy - ORCB Licensed DME Supplier
Pharmacy - Orthotics and Prosthetics
Pharmacy - Pharmacy
Phychology - Geriatric
Physical Rehabilitation Medicine
Physical Therapist
Physical Therapist - Individual - Medicare Exempt
Physical Therapist - Individual - Physical Therapy
Physical Therapist Individual - Acupuncture
Physical Therapy
Physical Therapy & Rehabilitation
Physician Assistant
Physician Assistant - Acupuncture
Physician Assistant - Anesthesia
Physician Assistant - CPC - Pediatrics
Physician Assistant - DATA 2000 Waiver Practitioners (MAT)
Physician Assistant - Physician Assistant
Physician Osteopath Individual - Obstetrics & Gynecology
Physician/Osteopath Individual - ACA Primary Care (Attestation Required)
Physician/Osteopath Individual - Acupuncture
Physician/Osteopath Individual - Addiction Medicine
Physician/Osteopath Individual - Addiction Psychiatry
Physician/Osteopath Individual - Adult Reconstructive Orthopedics
Physician/Osteopath Individual - Allergy
Physician/Osteopath Individual - Allergy & Immunology
Physician/Osteopath Individual - Anatomic Pathology
Physician/Osteopath Individual - Anatomic/Clinical Pathology
Physician/Osteopath Individual - Anesthesiology
Physician/Osteopath Individual - Cardiology
Physician/Osteopath Individual - Cardiothoracic Surgery
Physician/Osteopath Individual - Cardiovascular Disease
Physician/Osteopath Individual - Cardiovascular Surgery
Physician/Osteopath Individual - Child & Adolescent Psychiatry
Physician/Osteopath Individual - Child Neurology
Physician/Osteopath Individual - Clinical Cardiac Electrophysiology
Physician/Osteopath Individual - Clinical Cytogenetics
Physician/Osteopath Individual - Clinical Neurophysiology
Physician/Osteopath Individual - Clinical Pathology
Physician/Osteopath Individual - Colon & Rectal Surgery
Physician/Osteopath Individual - Critical Care Med. (Neurological Sur.)
Physician/Osteopath Individual - Critical Care Med.(Anesthesiology)
Physician/Osteopath Individual - Critical Care Med.(Internal Med.)
Physician/Osteopath Individual - Cytopathology
Physician/Osteopath Individual - DATA 2000 Waiver Practitioners
Physician/Osteopath Individual - DATA 2000 Waiver Practitioners (MAT)
Physician/Osteopath Individual - Dermatologic Surgery
Physician/Osteopath Individual - Dermatology
Physician/Osteopath Individual - Dermatopathology (Pathology)
Physician/Osteopath Individual - Diagnostic Radiology
Physician/Osteopath Individual - DME Supplier
Physician/Osteopath Individual - Dual Licensed Dentist and Licensed MD/DO.
Physician/Osteopath Individual - Emergency Medicine
Physician/Osteopath Individual - Endocrinology/Diabetes & Metabolism
Physician/Osteopath Individual - Facial Plastic Surgery
Physician/Osteopath Individual - Family Practice
Physician/Osteopath Individual - Gastroenterology
Physician/Osteopath Individual - General Practice
Physician/Osteopath Individual - General Preventive Medicine
Physician/Osteopath Individual - Geriatric
Physician/Osteopath Individual - Gynecological Oncology
Physician/Osteopath Individual - Gynecology
Physician/Osteopath Individual - Hand Surgery
Physician/Osteopath Individual - Hematology
Physician/Osteopath Individual - Hematology/Oncology
Physician/Osteopath Individual - Hepatology
Physician/Osteopath Individual - Immunopathology
Physician/Osteopath Individual - Infectious Disease
Physician/Osteopath Individual - Internal Medicine
Physician/Osteopath Individual - Internal Medicine/Pediatrics
Physician/Osteopath Individual - Maternal & Fetal Medicine
Physician/Osteopath Individual - Neonatal - Perinatal Medicine
Physician/Osteopath Individual - Nephrology
Physician/Osteopath Individual - Neurology
Physician/Osteopath Individual - Neuropathology
Physician/Osteopath Individual - Neuroradiology
Physician/Osteopath Individual - Nuclear Medicine
Physician/Osteopath Individual - Obstetrics
Physician/Osteopath Individual - Obstetrics & Gynecology
Physician/Osteopath Individual - Occupational Medicine
Physician/Osteopath Individual - Oncology
Physician/Osteopath Individual - Ophthalmology
Physician/Osteopath Individual - Ophthalmology (including routine eye exam)
Physician/Osteopath Individual - ORCB Licensed DME Supplier
Physician/Osteopath Individual - Orthopedic Surgery
Physician/Osteopath Individual - Orthopedic Surgery of the Spine
Physician/Osteopath Individual - Orthopedic Trauma
Physician/Osteopath Individual - Orthotics and Prosthetics
Physician/Osteopath Individual - Osteopathic Manipulative Medicine
Physician/Osteopath Individual - Otolaryngology
Physician/Osteopath Individual - Pain Medicine
Physician/Osteopath Individual - Palliative Medicine
Physician/Osteopath Individual - Pediatric
Physician/Osteopath Individual - Pediatric Allergy
Physician/Osteopath Individual - Pediatric Cardiology
Physician/Osteopath Individual - Pediatric Critical Care Medicine
Physician/Osteopath Individual - Pediatric Emergency Medicine
Physician/Osteopath Individual - Pediatric Endocrinology
Physician/Osteopath Individual - Pediatric Gastroenterology
Physician/Osteopath Individual - Pediatric Hematology/ Oncology
Physician/Osteopath Individual - Pediatric Infectious Disease
Physician/Osteopath Individual - Pediatric Nephrology
Physician/Osteopath Individual - Pediatric Ophthalmology
Physician/Osteopath Individual - Pediatric Orthopedics
Physician/Osteopath Individual - Pediatric Otolaryngology
Physician/Osteopath Individual - Pediatric Pathology
Physician/Osteopath Individual - Pediatric Pulmonology
Physician/Osteopath Individual - Pediatric Radiology
Physician/Osteopath Individual - Pediatric Rheumatology
Physician/Osteopath Individual - Pediatric Surgery
Physician/Osteopath Individual - Pediatric Urology
Physician/Osteopath Individual - Physical Medicine & Rehabilitation
Physician/Osteopath Individual - Physician/Osteopath Individual
Physician/Osteopath Individual - Psychiatric
Physician/Osteopath Individual - Pulmonary Critical Care Medicine
Physician/Osteopath Individual - Pulmonary Disease
Physician/Osteopath Individual - Radiation Oncology
Physician/Osteopath Individual - Radiology
Physician/Osteopath Individual - Reproductive Endocrinology
Physician/Osteopath Individual - Rheumatology
Physician/Osteopath Individual - Selective Pathology
Physician/Osteopath Individual - Sports Medicine (Emer. Med.)
Physician/Osteopath Individual - Sports Medicine (Family Practice)
Physician/Osteopath Individual - Sports Medicine (Internal Medicine)
Physician/Osteopath Individual - Sports Medicine (Orthopedic Surgery)
Physician/Osteopath Individual - Sports Medicine (Pediatrics)
Physician/Osteopath Individual - Surgical Critical Care(Surgery)
Physician/Osteopath Individual - Surgical Oncology
Physician/Osteopath Individual - Thoracic Surgery
Physician/Osteopath Individual - Transplant Surgery
Physician/Osteopath Individual - Trauma Surgery
Physician/Osteopath Individual - Unspecified
Physician/Osteopath Individual - Urology
Physician/Osteopath Individual - Vascular & Interventional
Physician/Osteopath Individual - Vascular Surgery
Plastic Surgery Hand Surgery
Podiatrist Individual - DME Supplier
Podiatrist Individual - Orthotics and Prosthetics
Podiatrist Individual - Podiatry
Podiatry
Portable X-Ray Supplier - Portable X-Ray Services
Pregnancy Related Services
Presumptive Eligibility
Preventive Medicine
Primary Care Clinic
Private Duty Nurse
Private Duty Nurse - Behavioral Health LPN
Private Duty Nurse - Behavioral Health RN
Private Duty Nurse - LPN - ODJFS Waiver Home Care Nursing
Private Duty Nurse - LPN - Private Duty Nursing
Private Duty Nurse - Multi-Dependent/Other Licensure
Private Duty Nurse - ODA Waiver
Private Duty Nurse - RN- ODJFS Waiver Home Care Nursing
Private Duty Nurse - RN- Private Duty Nursing
Proctologist
Professional Clinical Counselor - CANS Assessor
Professional Clinical Counselor - CANS Assessor (OhioRISE)
Professional Clinical Counselor - Counselor Trainee
Professional Clinical Counselor - Licensed Professional Clinical Counselor
Professional Clinical Counselor - Licensed Professional Counselor
Professional Clinical Counselor - Medicare Exempt
Professional Clinical Counselor - Multi-Dependent/Other Licensure
Professional Clinical Counselor - Multi-Independent Licensure
Professional Clinical Counselor - OhioRISE
Professional Dental Group - Professional Dental Group
Professional Medical Group - 340B
Professional Medical Group - Certified Ohio Behavior Analyst
Professional Medical Group - CPC - Practice Partnership
Professional Medical Group - CPC - Single Practice
Professional Medical Group - OhioRISE
Professional Medical Group - OhioRISE Care Management Entity
Professional Medical Group - Professional Medical Group
Prosthetic/Orthotic
Prosthodontics
PRS High School
PRS QMHS High School
Psychiatric Hospital - IMD
Psychiatric Hospital - Inpatient Psychiatric Facility Services
Psychiatric Hospital - OhioRISE Care Management Entity
Psychiatric Nurse
Psychiatry
Psychiatry - Board Certified
Psychiatry - Facility
Psychiatry - Forensic
Psychiatry - Geriatric
Psychologist Individual - Board Licensed School Psychologist
Psychologist Individual - CANS Assessor
Psychologist Individual - CANS Assessor (OhioRISE)
Psychologist Individual - Medicare Exempt
Psychologist Individual - Multi-Independent Licensure
Psychologist Individual - Psychology
Psychologist Individual - Psychology Assistant
Psychologist Individual - Psychology Intern
Psychologist Individual - Psychology Trainee
Psychology
Psychology - HSPP
Psychology - Neuropsychology
Public Health
Public Health Dentistry
Pulmonary Medicine
QMH3 High School
QMHS Bachelors
QMHS High School
QMHS Masters
QMHS QMH3 High School
QMHS QMH3 Masters
Qualified Non-Par Labs
Radiological Physics
Radiology
Radiology Diagnostics Center
Radiology-Mobile Unit
Reg Noncredentialed Providers
REGISTERED NON-CREDENTIALED
Registered Nurse
Rehabilitation Clinic
Rehabilitation Hospital
Rehabilitation Services
Reproductive Endocrinology
RESIDENT
Residential Training and Super
Residential Treatment Center
Residential Treatment Facility
Respite Care
Respite Care - Out of Home
Retail Clinic
RHC Medical and Behavioral Health - Rural Health Clinic Medical
Rheumatology
Rural Health
Rural Health Center
Rural Health Clinic
School-Child Health Svcs
Skilled Nurse Services
Skilled Nursing Facility
Skilled Nursing/Extended Care
Sleep Medicine
Social Work Counseling
Social Worker
Social Worker - Psychiatric
Social Worker LISW/LCSW
Speech & Hearing
Speech Language Pathologist
Speech Language Pathologist - Individual - Medicare Exempt
Speech Language Pathologist - Individual - Speech Language Pathology/Therapy
Sports Medicine
State of Ohio Department Agency - ODADAS (Ohio Department of Alcohol and Drug Addiction Services)
Substance Abuse Treatment Facility
SUD Resid Addiction Trmt Fac
SUD Residential Addiction Trea
Supplier Prosthetic/Orthotic
Supported Employment
Surgery
Surgery - Cardiovascular
Surgery - Colon & Rectal
Surgery - Critical Care
Surgery - General
Surgery - Hand
Surgery - Neurosurgery
Surgery - Oncology
Surgery - Oral
Surgery - Oral Maxillofacial
Surgery - Orthopedic
Surgery - Plastic
Surgery - Podiatric
Surgery - Thoracic
Surgery - Transplant
Surgery - Trauma
Surgery - Vascular
Surgical - Critical Care
Swingbed Hospital
Telemedicine
Telemedicine Presentation Site
Teleradiology
Thoracic Surgery
Transportation Encounter/Trip Transport-Enc-Trip
Urgent Care / After Hours
Urgent Care Center
Urogynecology
Urology
Vascular Surgery
VENTILATOR EQUIPMENT
Vision - Ophthalmology
Vision - Optical Supplier
Vision - Optometry
Vision Centers
Vision Supplier
W - DATA 2000 Waiver Practitio
W - DODD TDD Limited Waiver
W - DODD Waiver
W-Adult Day Health/Assist Liv
Waivered Services Individual - DODD Waiver
Waivered Services Individual - ODA Waiver
Waivered Services Individual - ODM Waiver Supplemental Transport Services
Waivered Services Organization - Community Integration
Waivered Services Organization - Community Transition
Waivered Services Organization - DODD TDD - Limited Waiver
Waivered Services Organization - DODD Waiver
Waivered Services Organization - Enhanced Community Living
Waivered Services Organization - HCBS Assisted Living
Waivered Services Organization - Home Maintenance/Chore
Waivered Services Organization - Home Medical Equipment
Waivered Services Organization - Homemaker
Waivered Services Organization - ODA Waiver
Waivered Services Organization - ODJFS Waiver
Waivered Services Organization - ODJFS Waiver Adult Day Health
Waivered Services Organization - ODJFS Waiver Emergency Response System
Waivered Services Organization - ODJFS Waiver Home Delivered Meals
Waivered Services Organization - ODJFS Waiver Minor Home Modifications
Waivered Services Organization - ODJFS Waiver Out of Home Respite
Waivered Services Organization - ODJFS Waiver Supplemental Adaptive and Assistive Devices
Waivered Services Organization - ODJFS Waiver Supplemental Transport Services
Waivered Services Organization - ODM Waiver Non-Agency Personal Care Aide
Waivered Services Organization - OhioRISE
Waivered Services Organization - Peer Services
Waivered Services Organization - Personal Care - Agency
Waivered Services Organization - Social Work Counseling
Waivered Services Organization - Supported Employment
W-Assisted Living
W-Chore Services
W-Community Transition
W-Emergency Response
Wheelchair Van - DODD Waiver
Wheelchair Van - JSF Waiver Supplemental Transport Services
Wheelchair Van - ODA Waiver
Wheelchair Van - Wheelchair Van
W-Home Delivered Meals
W-Home Medical Equipment
W-Home Mod/Maint/Repair
W-Homemaker
W-LPN Home Care/JFS Waiver
W-LPN Private Duty Nurse
W-LTSS Agency Personal Care
W-LTSS Agency Waiver Nursing
W-LTSS Ind Prov Home Care Atd
W-LTSS Ind Prov Waiver Nursing
W-LTSS Indep Prov Personal Car
W-Medicare Cert HHA/JFS Waiv
W-Medicare Certified HHA
W-Nursing Facility-Waiver Svc
W-Nutritional Consultation
W-ODA Waiver
W-ODJFS Waiver
W-Other Accred HHA/JFS Waiver
W-Other Accredited HHA
W-Out of Home Respite
W-Supp Adapt/Assist Dev/JFS W
W-Supplemental Transport Svc
W-Supplmnt Adapt & Assist Dev
W-Waiver Transportation
CS-P-0058