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:
Please select
Indiana
Kentucky
Ohio
West Virginia
Georgia
Arkansas
North Carolina
Michigan
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
ACS W-SUPPORTED EMPLOYMENT
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)
Adult Reconstruct Orth Surg
Adv Hrt Failure & Trns Crdlgy
Advanced Practice Nursing
Allergy & Immunology
Alternative Living Services
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
Ancillary
Anesthesia Assistant Individual - Anesthesia Assistant Individual
Anesthesia Free Standing
Anesthesiologist Assistant
Anesthesiology
Anesthesiology Critical Care Medicine
APD Environmental Adaptations
Applied Behavioral Analy (ABA)
Athletic Trainer - Certified
Audiologist
Audiology
Autism Spectrum Disorder
Base Level Providers
BCBA PARAPROFESSIONAL
Behav Support Consult Self-dir Behav-Supp-Cons-Se
Behavior Analyst - Certified Ohio Behavior Analyst
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 Mgmt Svcs. Pediatric
Birthing Center
CANS Assessor
Cardiac Catheterization Servic
Cardiac Electrophysiology
Cardiac Intensive Care Unit
Cardiology/Cardiovascular Disease
Case Management
Case Mgmt Ages 60 And Older
CBAY (Community-Based Alternatives for Youth)
Cert Registered Nurse Anesthetist
Certified BCBA-Behav Analyst
Certified Registered Nurse Anesthestist (CRNA) Individual - Anesthesia CRNA
Certified Registered Nurse Anesthestist (CRNA) Individual - DME Supplier
Chemical Dependency - CANS Assessor
Chemical Dependency - Chemical Dependency Counselor Assistant
Chemical Dependency - Chemical Dependency Counselor II
Chemical Dependency - Chemical Dependency Counselor III
Chemical Dependency - Licensed Independent Chemical Dependency Counselor
Chemical Dependency - Medicare Exempt
Chemical Dependency - Multi-Dependent/Other Licensure
Chemical Dependency - Multi-Independent Licensure
Chemical Dependency - OhioRISE
Chemical Dependency Counseling
Chemotherapy/Infusion Therapy
Child Development
CHILD HLTH MGMT SVCS
Children Intensive Behavioral
Children Intensive Behavioral Health Services
Chiropractor
Chiropractor Individual - Acupuncture
Chiropractor Individual - Chiro-Mechanotherapy
Chiropractor Individual - Chiropractic Services
Chiropractor Individual - Mechanotherapy
Clinic - 340B PHARMACY
Clinic - Family Planning Clinic
Clinic - General Dentistry
Clinic - Home Infusion Pharmacy
Clinic - Language/Audiology Clinics
Clinic - ODM Waiver Home Delivered Meals
Clinic - Orthotics and Prosthetics
Clinic - Outpatient Rehabilitation Clinic
Clinic - Pharmacy
Clinic - Primary Care Clinic
Clinic - Public Health Department Clinic
Clinic or Group Practice
Clinic or other Group Practice
Clinic/Center
Clinical Cardiac Electrophysio
Clinical Cardiac Electrophysiology
Clinical Counseling - CANS Assessor
Clinical Counseling - Counselor Trainee
Clinical Counseling - Licensed Professional Clinical Counselor
Clinical Counseling - Licensed Professional Counselor
Clinical Counseling - Medicare Exempt
Clinical Counseling - Multi-Dependent/Other Licensure
Clinical Counseling - Multi-Independent Licensure
Clinical Counseling - OhioRISE
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 - CANS Assessor (OhioRISE)
Clinical Nurse Specialist Individual - Clinical Nurse Specialist
Clinical Nurse Specialist Individual - Community Transition
Clinical Nurse Specialist Individual - DATA 2000 Waiver Practitioners (MAT)
Clinical Nurse Specialist Individual - DME Supplier
Clinical Nurse Specialist Individual - Geriatric
Clinical Nurse Specialist Individual - Oncology
Clinical Nurse Specialist Individual - ORCB Licensed DME Supplier
Clinical Nurse Specialist Individual - Orthotics and Prosthetics
Clinical Nurse Specialist Individual - Palliative Care
Clinical Nurse Specialist Individual - Pediatric
Clinical Nurse Specialist Individual - PSYCH
Clinical Nurse Specialist Individual - Psychiatric
Clinical Nurse Specialist Individual - RN - Private Duty Nursing
CMS Bachelors
CMS High School
CMS PRS High School
CMS PRS QMH3 Bachelors
CMS PRS QMHS Bachelors
CMS PRS QMHS High School
CMS QMH3 Bachelors
CMS QMH3 High School
CMS QMH3 Masters
CMS QMHS Bachelors
CMS QMHS High School
CMS QMHS Masters
CMS QMHS QMH3 Bachelors
CMS QMHS QMH3 High School
CMS QMHS QMH3 Masters
Colon/Rectal Surgery
Community Access Community-Access
Community Health Centers
Community Health Worker
Community Mental Health
Community Services and Support
CONSULTANT (AIIC)
Converted Inactive Provider/Type - Remittance Advice Provider Type
Counseling - Clinical
County Health Department
CPC Entity - QBHE - Qualified Behavioral Health Entity - Child/Adult
Critical Access Hospital
Critical Care Medicine
Critical Care OB/GYN
CRNA Anesthetist
Custom Made Wheelchairs
Day Habilitation
Day Treatment Services
DDS NON-MEDICAID
Dental & Orthodontic Specialty
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
Diagnostic Radiology
Diagnostics
Dialysis - Professional
Dialysis - Technical
Dialysis Center
Dietetic Technician Registered
Disproportionate Share Hospital
DODD TDD - Limited Waiver - Private Duty Nursing (Group)
Donor Milk Bank
Doula
Durable Medical Equipment (DME)
Durable Medical Equipment Supp
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 - ODM Waiver Adaptive/Assistive Devices
Durable Medical Equipment Supplier - ODM Waiver Emergency Response Services
Durable Medical Equipment Supplier - ODM Waiver Home Modifications
Durable Medical Equipment Supplier - ORCB Licensed DME Supplier
Durable Medical Equipment Supplier - Orthotics and Prosthetics
Durable Medical Equipment Supplier - Specialized Medical Equipment - Supplies and Device
Durable Medical Equipment Supplier - TDD Waiver Limited
Durable Medical Equipment Supplier - Vehicle Modifications
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 - ESRD Dialysis Clinic
Enhanced Level Providers
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 - 340B Pharmacy
Federally Qualified Health Center - CPC - Pediatrics
Federally Qualified Health Center - CPC - Practice Partnership
Federally Qualified Health Center - CPC - Single Practice
Federally Qualified Health Center - FQHC Behavioral Health
Federally Qualified Health Center - FQHC Chiropractic
Federally Qualified Health Center - FQHC Dental
Federally Qualified Health Center - FQHC Medical
Federally Qualified Health Center - FQHC Medical (Facility)
Federally Qualified Health Center - FQHC Physical Therapy
Federally Qualified Health Center - FQHC Podiatry
Federally Qualified Health Center - FQHC Speech Therapy and Audiology
Federally Qualified Health Center - FQHC Transportation
Federally Qualified Health Center - FQHC Vision
Federally Qualified Health Center - Qualified Entity
Federally Qualified Health Center (FQHC)
Financial Management Services
Fluoride Certification
FLUORIDE CERTIFICATION
Gastroenterology
General Acute Care Hospital
Genetics
Geriatric Medicine
Geriatrics
Gerontology Primary Care NP
Gynecologic Endocrinology
Gynecologic Oncology
Gynecologic Urology
Gynecological Oncology
Gynecology
Hand Surgery
Health Check - Health Dept
Health Check – Originating Site Only
Health Check - Other
Health Service
Hearing Aid Dealer
Heart Transplant
Heart/Lung Transplant
Hemodialysis
Hepatology
Home and Community Based ODA Assisted Living - Community Transition
Home and Community Based ODA Assisted Living - HCBS Assisted Living
Home Health
Home Health Agency
Home Infusion
Home Medical Equipment Waivered Svc Org
Home Modifications
Home Modifications Maintenance and Repairs
Hospice - Hospice
Hospice & Palliative Medicine
Hospice Care-Outpatient
Hospital
Hospital - 340B PHARMACY
Hospital - Ambulance Services
Hospital - CANS Assessor (OhioRISE)
Hospital - Childrens Hospital
Hospital - CPC - Practice Partnership
Hospital - CPC - Single Practice
Hospital - Critical Access Hospital
Hospital - Distinct Part Psychiatric Unit
Hospital - DME Supplier
Hospital - General Hospital
Hospital - Ground Ambulance
Hospital - Home Infusion Pharmacy
Hospital - Hospital High-Cost
Hospital - Inpatient Psychiatric Facility Services
Hospital - Level 2 Nursery
Hospital - Level 3 Nursery
Hospital - LTACH (Long Term Care Acute Hospital)
Hospital - Major Teaching Hospital
Hospital - Maternal and INFant Support
Hospital - Military
Hospital - MRSS - Mobile Response and Stabilization Service
Hospital - ORCB Licensed DME Supplier
Hospital - Orthotics and Prosthetics
Hospital - Outpatient
Hospital - Pharmacy
Hospital - Psychiatric - Freestanding
Hospital - Qualified Entity
Hospital - Rehabilitation Hospital
Hospital - Rotary-Wing Air Ambulance
Hospital - Water Ambulance
Hospital - Wheelchair Van
Hospital-based Prof Services
Hospitalist
Hyperbaric Medicine
Imaging Facility
Immunology
Independent Diagnostic Testing
Independent Diagnostic Testing Facility - Independent Diagnostic Testing Facility (IDTF)
Independent Laboratory - Indep
Independent Laboratory - Independent Laboratory
Independent Laboratory - Qualified Entity
Infectious Disease
Institutional Based
Intensive Care Unit
INTENSIVE LEVEL PROVIDERS
Internal Medicine
Internal Medicine CriticalCare
Kentucky Department of Public Health
Kidney Transplant
Laboratory
Lactation Consultant
Laryngology
Legal Medicine
Lic Clinical Addiction Cnslr
Lic Independ Practical Nurse
Lic Independ Registered Nurse
Lic OH Behavioral Analyst
Licensed Behavioral Analyst
Licensed Clinical Social Worker
Licensed Mental Health Counslr
Licensed Practical Nurse
Licensed Professional Art Ther
Liver Transplant
Long Term Care
Long Term Care Hospital
Lung Transplant
Managed Care organization Panel Provider Only - MCO Provider Only (Managed Care organization Provider)
Marriage and Family Therapy
Marriage and Family Therapy - CANS Assessor
Marriage and Family Therapy - Licensed Independent Marriage and Family Therapist
Marriage and Family Therapy - Licensed Marriage/Family Counselor
Marriage and Family Therapy - Marriage/Family Counselor Trainee
Marriage and Family Therapy - Medicare Exempt
Marriage and Family Therapy - Multi-Dependent/Other Licensure
Marriage and Family Therapy - Multi-Independent Licensure
Marriage/Family Therapist
MASTERS LEVEL CLINICIANS
Maternal & Fetal Medicine
Maternal Health
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 Waiver
Medicare Certified Home Health Agency - Homemaker
Medicare Certified Home Health Agency - Medicare Certified Home Health Agency
Medicare Certified Home Health Agency - Nutritional Consultation
Medicare Certified Home Health Agency - ODA Waiver
Medicare Certified Home Health Agency - ODM Medicare Certified Home Health Agency
Medicare Certified Home Health Agency - ODM Waiver
Medicare Certified Home Health Agency - ODM Waiver Adaptive/Assistive Devices
Medicare Certified Home Health Agency - ODM Waiver Adult Day Health Center
Medicare Certified Home Health Agency - ODM Waiver Emergency Response Services
Medicare Certified Home Health Agency - ODM Waiver Supplemental Transportation
Medicare Certified Home Health Agency - Personal Care - Agency
Medicare Certified Home Health Agency - Social Work Counseling
Medicare Certified Home Health Agency - TDD Waiver Limited
Medicare Exempt
Medicare-Only Provider
Mental Health
Mental Health Clinic - Other Mental Health Clinic
Mental Health Specialist
Methadone Maintenance Clinic
Methadone Program
Midwife
Minor Care
Multi-Dependent/Other Licensure
Multi-Specialty Group
Music Therapy
Neonatology/Perinatal Medicine
Neopathology
Nephrology
Neurology
Neurology - Vascular
Neuro-Ophthalmology
Neuropathology
Neurophysiology - Clinical
Neuropsychology - Clinical
Neuroradiology
Newborn Eligibility
No longer in Use 13
No longer in Use 14
Non-Agency Home Care Attendant - DODD Waiver
Non-Agency Home Care Attendant - ODA Waiver
Non-Agency Home Care Attendant - ODM Waiver Non-Agency Home Care Attendant
Non-Agency Nurse - RN or LPN - Behavioral Health LPN
Non-Agency Nurse - RN or LPN - Behavioral Health RN
Non-Agency Nurse - RN or LPN - CANS Assessor (OhioRISE)
Non-Agency Nurse - RN or LPN - DODD Waiver
Non-Agency Nurse - RN or LPN - LPN - Private Duty Nursing
Non-Agency Nurse - RN or LPN - Multi-Dependent/Other Licensure
Non-Agency Nurse - RN or LPN - Multi-Independent Licensure
Non-Agency Nurse - RN or LPN - ODA Waiver
Non-Agency Nurse - RN or LPN - Pre-Natal Postpartum Nurse Home Visitor
Non-Agency Nurse - RN or LPN - RN - Private Duty Nursing
Non-Agency Nurse - RN or LPN - TDD Waiver Limited
Non-Agency Personal Care Aid - OhioRISE
Non-Agency Personal Care Aide - DODD Waiver
Non-Agency Personal Care Aide - Home Maintanence/Chore
Non-Agency Personal Care Aide - ODA Waiver
Non-Agency Personal Care Aide - ODM Waiver Non-Agency Personal Care Aide
Non-Covered
Non-State Operated ICF-MR - Privately Operated ICF-MR
Not Required
Nuclear Cardiology
Nuclear Medicine
Nuclear Radiology
Nurse
Nurse Midwife - Contracted
Nurse Midwife - Non-Contracted
Nurse Midwife Individual - DME Supplier
Nurse Midwife Individual - Nurse Midwife
Nurse Midwife Individual - RN - Private Duty Nursing
Nurse Practitioner - Geriatric
Nurse Practitioner - OB/GYN
Nurse Practitioner - Psych
Nurse Practitioner Clinic
Nurse Practitioner Individual - Acupuncture
Nurse Practitioner Individual - Acute Care
Nurse Practitioner Individual - Adult Health
Nurse Practitioner Individual - CANS Assessor (OhioRISE)
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 - Non-Institutional High-Cost Drugs
Nurse Practitioner Individual - Nurse Practitioner
Nurse Practitioner Individual - Obstetrics & Gynecology
Nurse Practitioner Individual - OhioRISE
Nurse Practitioner Individual - ORCB Licensed DME Supplier
Nurse Practitioner Individual - Orthotics and Prosthetics
Nurse Practitioner Individual - Palliative Care
Nurse Practitioner Individual - PDN/ODM Waiver Registered Nurse
Nurse Practitioner Individual - Pediatric
Nurse Practitioner Individual - Psych
Nurse Practitioner Individual - Psychiatric
Nurse Practitioner Individual - RN - Private Duty Nursing
Nurse Practitioner Individual - TDD Waiver Limited
Nursing
Nursing Facility - Dual Certified Pediatric Nursing Facility Outlier
Nursing Facility - Dual Certified Skilled Nursing Facility
Nursing Facility - Medicaid Only Nursing Facility
Nursing Facility - NF Vent Dependent 1
Nursing Facility - NF Vent Weaning 1
Nursing Facility - ODM Waiver Out-of-Home Respite
Nutrition
Nutritionist
OB/GYN
Obs & Gynecology Critical Care
Obstetrics
Occupational Medicine
Occupational Therapist - Individual - Medicare Exempt
Occupational Therapist - Individual - Occupational Therapy
Occupational Therapy
Occupational Therapy Assistant
Ocularists
ODA Waiver
ODA Waiver - Private Duty Nursing (Group)
ODJFS Waiver Out of Home Respite Waivered Svc Org
ODJFS Waiver Supplemental Transport Svcs
Ohio Department Of Mental Health Provider - 340B Pharmacy
Ohio Department of Mental Health Provider - Assertive Community Treatment (ACT)
Ohio Department Of Mental Health Provider - CANS Assessor
Ohio Department of Mental Health Provider - Community Mental Health Medical Services
Ohio Department of Mental Health Provider - Community Mental Health Professional Medicare Crossovers
Ohio Department of Mental Health Provider - Health Home
Ohio Department of Mental Health Provider - Health Home Spa2
Ohio Department of Mental Health Provider - Intensive Home Based Treatment (IHBT)
Ohio Department Of Mental Health Provider - MRSS Mobile Response and Stabilization Service
Ohio Department of Mental Health Provider - ODMH Community Health Agency
Ohio Department Of Mental Health Provider - OhioRISE
Ohio Department of Mental Health Provider - Peer Services
Ohio Department Of Mental Health Provider - QBHE - Qualified Behavioral Health Entity - Adult
Ohio Department Of Mental Health Provider - QBHE - Qualified Behavioral Health Entity - Child/Adult
Ohio Department of Mental Health Provider - Supported Employment
OMHAS Certified/Licensed Treatment Program - CANS Assessor
OMHAS Certified/Licensed Treatment Program - MRSS Mobile Response and Stabilization Service
OMHAS Certified/Licensed Treatment Program - ODADAS Certified/Licensed Treatment Program
OMHAS Certified/Licensed Treatment Program - ODADAS MARP Program
OMHAS Certified/Licensed Treatment Program - ODADAS Methadone Program
OMHAS Certified/Licensed Treatment Program - OhioRISE
OMHAS Certified/Licensed Treatment Program - OPIOID Treatment Program
OMHAS Certified/Licensed Treatment Program - QBHE - Qualified Behavioral Health Entity - Adult
OMHAS Certified/Licensed Treatment Program - QBHE - Qualified Behavioral Health Entity - Child
OMHAS Certified/Licensed Treatment Program - QBHE - Qualified Behavioral Health Entity - Child/Adult
OMHAS Certified/Licensed Treatment Program - SUD Residential Facility
Oncology
Oncology - Gynecologic
Oncology - Hematology
Oncology - Radiology
Open Heart Surgery
Opioid Treatment Program
Optician
Optician/Ocularist - Optical Company
Optician/Ocularist - Solo Practice Optician
Optometrist Individual - Optometry
Optometry
Oral Pathology
Orthodontic Prosthetics - Non A
Orthotics and Prosthetics
Osteopathic Manipulative Med
Osteopathy
Other
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 - ODM Waiver Supplemental Transportation
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
Pain Management
Palliative Care
Pancreas Transplant
Para-Professionals - CANS Assessor
Para-Professionals - Care Management Specialist
Para-Professionals - IPS-SE
Para-Professionals - Multi-Dependent/Other Licensure
Para-Professionals - Paraprofessional Bachelors
Para-Professionals - Paraprofessional Care Management Specialist
Para-Professionals - Paraprofessional HS/Ged
Para-Professionals - Paraprofessional Masters
Para-Professionals - Paraprofessional Peer Recovery Support
Para-Professionals - Paraprofessional QMHS
Para-Professionals - Paraprofessional QMHS+3
Para-Professionals - Peer Recovery Supporter
Para-Professionals - Qualified MH Specialist
Para-Professionals - Qualified MH Specialist 3
Pathology
Pediatric Allergy & Immunology
Pediatric Cardiology
Pediatric Child Abuse
Pediatric Critical Care Medicine
Pediatric Dentist
Pediatric Dentistry
Pediatric Dermatology
Pediatric Developmental Behavior
Pediatric Emergency Medicine
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Hematology/Oncology
Pediatric Infectious Disease
Pediatric Internal Medicine
Pediatric Neonatology
Pediatric Nephrology
Pediatric Neuro-Developmental Disability
Pediatric Neurology
Pediatric Ophthalmology
Pediatric Orthopedics
Pediatric Otolaryngology (Ear - Nose & Throat)
Pediatric Pathology
Pediatric Plastic Surgery
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
Pharmacy
Pharmacy - 340B PHARMACY
Pharmacy - DME Supplier
Pharmacy - DODD Waiver
Pharmacy - Home Infusion Pharmacy
Pharmacy - Immunization
Pharmacy - ODA Waiver
Pharmacy - ORCB Licensed DME Supplier
Pharmacy - Orthotics and Prosthetics
Pharmacy CLOSED DOOR PHARMACY
Pharmacy COMPOUND
Pharmacy DISPENSING PHYSICIAN
Pharmacy HOME INFUSION
Pharmacy INPATIENT HOSPITAL
Pharmacy LONG TERM CARE FACILITY
Pharmacy MAIL ORDER
Pharmacy ON-SITE/CLIENT OWNED
Pharmacy OUTPATIENT CLINIC
Pharmacy RETAIL
Pharmacy SOVEREIGN NATION
Pharmacy SPECIALTY
Pharmacy Supplies
Pharmacy TRIBALLY OWNED PROVIDER
Phychology - Geriatric
Physical Rehabilitation Medicine
Physical Therapist
Physical Therapist - Individual - Acupuncture
Physical Therapist - Individual - Medicare Exempt
Physical Therapist - Individual - Physical Therapy
Physical Therapy
Physical Therapy & Rehabilitation
Physical Therapy Assistant
Physician Assistant
Physician Assistant - Acupuncture
Physician Assistant - Anesthesia
Physician Assistant - DATA 2000 Waiver Practitioners (MAT)
Physician Assistant - OhioRISE
Physician Assistant - Physician Assistant
Physician Osteopath Individual - Obstetrics & Gynecology
Physician/Osteopath Individual
Physician/Osteopath Individual - Abdominal Surgery
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 - CANS Assessor
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 - Clin. & Lab. Immunology (Internal Med.)
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. (Anesthesiology)
Physician/Osteopath Individual - Critical Care Med. (Internal Med.)
Physician/Osteopath Individual - Critical Care Med. (Neurological Sur.)
Physician/Osteopath Individual - Cytopathology
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 - Diabetes
Physician/Osteopath Individual - Diagnostic Radiology
Physician/Osteopath Individual - DME Supplier
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 - Head & Neck Surgery
Physician/Osteopath Individual - Hematology
Physician/Osteopath Individual - Hematology/Oncology
Physician/Osteopath Individual - Hepatology
Physician/Osteopath Individual - Immunology
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 - Maxillofacial Radiology
Physician/Osteopath Individual - Medical Toxicology (Emer. Medicine)
Physician/Osteopath Individual - Musculoskeletal Oncology
Physician/Osteopath Individual - Neonatal - Perinatal Medicine
Physician/Osteopath Individual - Nephrology
Physician/Osteopath Individual - Neurology
Physician/Osteopath Individual - Neurology/Diag Rad/
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 - Otology/Neurotology
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 - Proctology
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
Physician/Ostepath Individual - CPC - Pediatrics
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 Nursing - LPN
Private Duty Nursing - RN
Proctologist
Professional Dental Group - Professional Dental Group
Professional Medical Group - 340B Pharmacy
Professional Medical Group - Acupuncture
Professional Medical Group - Certified Ohio Behavior Analyst
Professional Medical Group - CPC - Practice Partnership
Professional Medical Group - CPC - Single Practice
Professional Medical Group - OhioRISE Care Management Entity
Professional Medical Group - Professional Medical Group
Prosthetic/Orthotic
Prosthodontics
PRS High School
PRS QMHS High School
PRS QMHS QMH3 High School
Psych Facility - Free-Standing
Psychiatric Hospital
Psychiatric Hospital - IMD
Psychiatric Hospital - Inpatient Psychiatric Facility Services
Psychiatric Hospital - OhioRISE Care Management Entity
Psychiatric Nurse
Psychiatric Residential Treatment Facility - Psychiatric Residential Treatment Facility
Psychiatry
Psychiatry - Board Certified
Psychiatry - Facility
Psychiatry - Forensic
Psychiatry - Geriatric
Psychology
Psychology - Board Licensed School Psychologist
Psychology - CANS Assessor
Psychology - HSPP
Psychology - Licensed Psychologist
Psychology - Medicare Exempt
Psychology - Multi-Dependent/Other Licensure
Psychology - Multi-Independent Licensure
Psychology - Neuropsychology
Psychology - Psychology Assistant
Psychology - Psychology Intern
Psychology - Psychology Trainee
Public Health
Public Health - Federal
Public Health - State or Local
Public Health Dentistry
Pulmonary Medicine
QMH3 Bachelors
QMH3 High School
QMH3 Masters
QMHS Bachelors
QMHS High School
QMHS Masters
QMHS QMH3 Bachelors
QMHS QMH3 High School
QMHS QMH3 Masters
Qualified Non-Par Labs
Radiation Therapy
Radiology
Radiology Diagnostics Center
Radiology-Mobile Unit
Recovery Care
Reg Noncredentialed Providers
Registered Dietician
Registered Dietitian Nutritionist - Registered Dietitian Nutritionist
REGISTERED NON-CREDENTIALED
Registered Nurse
Rehabilitation Clinic
Rehabilitation Hospital
Rehabilitation Services
Reproductive Endocrinology
Resident
RESIDENT
Residential Training and Super
Residential Treatment Center
Respite Care
Respite Care - Out of Home
Retail Clinic
Rheumatology
Rural Health
Rural Health Center
Rural Health Clinic
Rural Health Clinic - CPC - Practice Partnership
Rural Health Clinic - Medical
Rural Health Clinic - RHC Medical and Behavioral Health
Rural Health Clinic - Rural Health Clinic Medical (Facility)
School-Child Health Svcs
Skilled Nurse Services
Skilled Nursing Facility
Skilled Nursing/Extended Care
Sleep Medicine
Social Work - CANS Assessor
Social Work - Community Transition
Social Work - Licensed Independent Social Worker
Social Work - Licensed Social Worker
Social Work - Medicare Exempt
Social Work - Multi-Dependent/Other Licensure
Social Work - Multi-Independent Licensure
Social Work - OhioRISE
Social Work - Social Worker Assistant
Social Work - Social Worker Trainee
Social Work Counseling
Social Worker
Social Worker - Psychiatric
Social Worker LISW/LCSW
Specialist/Technologist
Speech & Hearing
Speech Language Pathologist
Speech Language Pathologist - Individual - Medicare Exempt
Speech Language Pathologist - Individual - Speech Language Pathology/Therapy
Speech Pathologist Assistant
Sports Medicine
State of Ohio Department Agency - ODADAS (Ohio Department of Alcohol and Drug Addiction Services)
Substance Abuse Program
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
Surgery Oral
Surgical - Critical Care
Swingbed Hospital
Telemedicine
Telemedicine Presentation Site
Teleradiology
Therapeutic Radiology
Thoracic Surgery
Transportation Encounter/Trip Transport-Enc-Trip
Urgent Care / After Hours
Urogynecology
Urology
VA
Vascular Neurology
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 - Community Transition
Waivered Services Individual - DODD Waiver
Waivered Services Individual - Home Maintanance/Chore
Waivered Services Individual - ODA Waiver
Waivered Services Individual - ODM Waiver Supplemental Transportation
Waivered Services Organization - Community Integration
Waivered Services Organization - Community Transition
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 - ODM Waiver
Waivered Services Organization - ODM Waiver Adaptive/Assistive Devices
Waivered Services Organization - ODM Waiver Adult Day Health Center
Waivered Services Organization - ODM Waiver Emergency Response Services
Waivered Services Organization - ODM Waiver Home Delivered Meals
Waivered Services Organization - ODM Waiver Home Modifications
Waivered Services Organization - ODM Waiver Non-Agency Personal Care Aide
Waivered Services Organization - ODM Waiver Out-of-Home Respite
Waivered Services Organization - ODM Waiver Supplemental Transportation
Waivered Services Organization - OhioRISE
Waivered Services Organization - OhioRISE Care Management Entity
Waivered Services Organization - Peer Services
Waivered Services Organization - Personal Care - Agency
Waivered Services Organization - Social Work Counseling
Waivered Services Organization - Supported Employment
Waivered Services Organization - TDD Waiver Limited
W-Alcohol and Drug
W-Assisted Living
W-Chore Services
W-Community Transition
W-Emergency Response
Wheelchair Van - ODA Waiver
Wheelchair Van - ODM Waiver Supplemental Transportation
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
North Carolina
Michigan
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
ACS W-SUPPORTED EMPLOYMENT
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)
Adult Reconstruct Orth Surg
Adv Hrt Failure & Trns Crdlgy
Advanced Practice Nursing
Allergy & Immunology
Alternative Living Services
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
Ancillary
Anesthesia Assistant Individual - Anesthesia Assistant Individual
Anesthesia Free Standing
Anesthesiologist Assistant
Anesthesiology
Anesthesiology Critical Care Medicine
APD Environmental Adaptations
Applied Behavioral Analy (ABA)
Athletic Trainer - Certified
Audiologist
Audiology
Autism Spectrum Disorder
Base Level Providers
BCBA PARAPROFESSIONAL
Behav Support Consult Self-dir Behav-Supp-Cons-Se
Behavior Analyst - Certified Ohio Behavior Analyst
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 Mgmt Svcs. Pediatric
Birthing Center
CANS Assessor
Cardiac Catheterization Servic
Cardiac Electrophysiology
Cardiac Intensive Care Unit
Cardiology/Cardiovascular Disease
Case Management
Case Mgmt Ages 60 And Older
CBAY (Community-Based Alternatives for Youth)
Cert Registered Nurse Anesthetist
Certified BCBA-Behav Analyst
Certified Registered Nurse Anesthestist (CRNA) Individual - Anesthesia CRNA
Certified Registered Nurse Anesthestist (CRNA) Individual - DME Supplier
Chemical Dependency - CANS Assessor
Chemical Dependency - Chemical Dependency Counselor Assistant
Chemical Dependency - Chemical Dependency Counselor II
Chemical Dependency - Chemical Dependency Counselor III
Chemical Dependency - Licensed Independent Chemical Dependency Counselor
Chemical Dependency - Medicare Exempt
Chemical Dependency - Multi-Dependent/Other Licensure
Chemical Dependency - Multi-Independent Licensure
Chemical Dependency - OhioRISE
Chemical Dependency Counseling
Chemotherapy/Infusion Therapy
Child Development
CHILD HLTH MGMT SVCS
Children Intensive Behavioral
Children Intensive Behavioral Health Services
Chiropractor
Chiropractor Individual - Acupuncture
Chiropractor Individual - Chiro-Mechanotherapy
Chiropractor Individual - Chiropractic Services
Chiropractor Individual - Mechanotherapy
Clinic - 340B PHARMACY
Clinic - Family Planning Clinic
Clinic - General Dentistry
Clinic - Home Infusion Pharmacy
Clinic - Language/Audiology Clinics
Clinic - ODM Waiver Home Delivered Meals
Clinic - Orthotics and Prosthetics
Clinic - Outpatient Rehabilitation Clinic
Clinic - Pharmacy
Clinic - Primary Care Clinic
Clinic - Public Health Department Clinic
Clinic or Group Practice
Clinic or other Group Practice
Clinic/Center
Clinical Cardiac Electrophysio
Clinical Cardiac Electrophysiology
Clinical Counseling - CANS Assessor
Clinical Counseling - Counselor Trainee
Clinical Counseling - Licensed Professional Clinical Counselor
Clinical Counseling - Licensed Professional Counselor
Clinical Counseling - Medicare Exempt
Clinical Counseling - Multi-Dependent/Other Licensure
Clinical Counseling - Multi-Independent Licensure
Clinical Counseling - OhioRISE
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 - CANS Assessor (OhioRISE)
Clinical Nurse Specialist Individual - Clinical Nurse Specialist
Clinical Nurse Specialist Individual - Community Transition
Clinical Nurse Specialist Individual - DATA 2000 Waiver Practitioners (MAT)
Clinical Nurse Specialist Individual - DME Supplier
Clinical Nurse Specialist Individual - Geriatric
Clinical Nurse Specialist Individual - Oncology
Clinical Nurse Specialist Individual - ORCB Licensed DME Supplier
Clinical Nurse Specialist Individual - Orthotics and Prosthetics
Clinical Nurse Specialist Individual - Palliative Care
Clinical Nurse Specialist Individual - Pediatric
Clinical Nurse Specialist Individual - PSYCH
Clinical Nurse Specialist Individual - Psychiatric
Clinical Nurse Specialist Individual - RN - Private Duty Nursing
CMS Bachelors
CMS High School
CMS PRS High School
CMS PRS QMH3 Bachelors
CMS PRS QMHS Bachelors
CMS PRS QMHS High School
CMS QMH3 Bachelors
CMS QMH3 High School
CMS QMH3 Masters
CMS QMHS Bachelors
CMS QMHS High School
CMS QMHS Masters
CMS QMHS QMH3 Bachelors
CMS QMHS QMH3 High School
CMS QMHS QMH3 Masters
Colon/Rectal Surgery
Community Access Community-Access
Community Health Centers
Community Health Worker
Community Mental Health
Community Services and Support
CONSULTANT (AIIC)
Converted Inactive Provider/Type - Remittance Advice Provider Type
Counseling - Clinical
County Health Department
CPC Entity - QBHE - Qualified Behavioral Health Entity - Child/Adult
Critical Access Hospital
Critical Care Medicine
Critical Care OB/GYN
CRNA Anesthetist
Custom Made Wheelchairs
Day Habilitation
Day Treatment Services
DDS NON-MEDICAID
Dental & Orthodontic Specialty
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
Diagnostic Radiology
Diagnostics
Dialysis - Professional
Dialysis - Technical
Dialysis Center
Dietetic Technician Registered
Disproportionate Share Hospital
DODD TDD - Limited Waiver - Private Duty Nursing (Group)
Donor Milk Bank
Doula
Durable Medical Equipment (DME)
Durable Medical Equipment Supp
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 - ODM Waiver Adaptive/Assistive Devices
Durable Medical Equipment Supplier - ODM Waiver Emergency Response Services
Durable Medical Equipment Supplier - ODM Waiver Home Modifications
Durable Medical Equipment Supplier - ORCB Licensed DME Supplier
Durable Medical Equipment Supplier - Orthotics and Prosthetics
Durable Medical Equipment Supplier - Specialized Medical Equipment - Supplies and Device
Durable Medical Equipment Supplier - TDD Waiver Limited
Durable Medical Equipment Supplier - Vehicle Modifications
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 - ESRD Dialysis Clinic
Enhanced Level Providers
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 - 340B Pharmacy
Federally Qualified Health Center - CPC - Pediatrics
Federally Qualified Health Center - CPC - Practice Partnership
Federally Qualified Health Center - CPC - Single Practice
Federally Qualified Health Center - FQHC Behavioral Health
Federally Qualified Health Center - FQHC Chiropractic
Federally Qualified Health Center - FQHC Dental
Federally Qualified Health Center - FQHC Medical
Federally Qualified Health Center - FQHC Medical (Facility)
Federally Qualified Health Center - FQHC Physical Therapy
Federally Qualified Health Center - FQHC Podiatry
Federally Qualified Health Center - FQHC Speech Therapy and Audiology
Federally Qualified Health Center - FQHC Transportation
Federally Qualified Health Center - FQHC Vision
Federally Qualified Health Center - Qualified Entity
Federally Qualified Health Center (FQHC)
Financial Management Services
Fluoride Certification
FLUORIDE CERTIFICATION
Gastroenterology
General Acute Care Hospital
Genetics
Geriatric Medicine
Geriatrics
Gerontology Primary Care NP
Gynecologic Endocrinology
Gynecologic Oncology
Gynecologic Urology
Gynecological Oncology
Gynecology
Hand Surgery
Health Check - Health Dept
Health Check – Originating Site Only
Health Check - Other
Health Service
Hearing Aid Dealer
Heart Transplant
Heart/Lung Transplant
Hemodialysis
Hepatology
Home and Community Based ODA Assisted Living - Community Transition
Home and Community Based ODA Assisted Living - HCBS Assisted Living
Home Health
Home Health Agency
Home Infusion
Home Medical Equipment Waivered Svc Org
Home Modifications
Home Modifications Maintenance and Repairs
Hospice - Hospice
Hospice & Palliative Medicine
Hospice Care-Outpatient
Hospital
Hospital - 340B PHARMACY
Hospital - Ambulance Services
Hospital - CANS Assessor (OhioRISE)
Hospital - Childrens Hospital
Hospital - CPC - Practice Partnership
Hospital - CPC - Single Practice
Hospital - Critical Access Hospital
Hospital - Distinct Part Psychiatric Unit
Hospital - DME Supplier
Hospital - General Hospital
Hospital - Ground Ambulance
Hospital - Home Infusion Pharmacy
Hospital - Hospital High-Cost
Hospital - Inpatient Psychiatric Facility Services
Hospital - Level 2 Nursery
Hospital - Level 3 Nursery
Hospital - LTACH (Long Term Care Acute Hospital)
Hospital - Major Teaching Hospital
Hospital - Maternal and INFant Support
Hospital - Military
Hospital - MRSS - Mobile Response and Stabilization Service
Hospital - ORCB Licensed DME Supplier
Hospital - Orthotics and Prosthetics
Hospital - Outpatient
Hospital - Pharmacy
Hospital - Psychiatric - Freestanding
Hospital - Qualified Entity
Hospital - Rehabilitation Hospital
Hospital - Rotary-Wing Air Ambulance
Hospital - Water Ambulance
Hospital - Wheelchair Van
Hospital-based Prof Services
Hospitalist
Hyperbaric Medicine
Imaging Facility
Immunology
Independent Diagnostic Testing
Independent Diagnostic Testing Facility - Independent Diagnostic Testing Facility (IDTF)
Independent Laboratory - Indep
Independent Laboratory - Independent Laboratory
Independent Laboratory - Qualified Entity
Infectious Disease
Institutional Based
Intensive Care Unit
INTENSIVE LEVEL PROVIDERS
Internal Medicine
Internal Medicine CriticalCare
Kentucky Department of Public Health
Kidney Transplant
Laboratory
Lactation Consultant
Laryngology
Legal Medicine
Lic Clinical Addiction Cnslr
Lic Independ Practical Nurse
Lic Independ Registered Nurse
Lic OH Behavioral Analyst
Licensed Behavioral Analyst
Licensed Clinical Social Worker
Licensed Mental Health Counslr
Licensed Practical Nurse
Licensed Professional Art Ther
Liver Transplant
Long Term Care
Long Term Care Hospital
Lung Transplant
Managed Care organization Panel Provider Only - MCO Provider Only (Managed Care organization Provider)
Marriage and Family Therapy
Marriage and Family Therapy - CANS Assessor
Marriage and Family Therapy - Licensed Independent Marriage and Family Therapist
Marriage and Family Therapy - Licensed Marriage/Family Counselor
Marriage and Family Therapy - Marriage/Family Counselor Trainee
Marriage and Family Therapy - Medicare Exempt
Marriage and Family Therapy - Multi-Dependent/Other Licensure
Marriage and Family Therapy - Multi-Independent Licensure
Marriage/Family Therapist
MASTERS LEVEL CLINICIANS
Maternal & Fetal Medicine
Maternal Health
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 Waiver
Medicare Certified Home Health Agency - Homemaker
Medicare Certified Home Health Agency - Medicare Certified Home Health Agency
Medicare Certified Home Health Agency - Nutritional Consultation
Medicare Certified Home Health Agency - ODA Waiver
Medicare Certified Home Health Agency - ODM Medicare Certified Home Health Agency
Medicare Certified Home Health Agency - ODM Waiver
Medicare Certified Home Health Agency - ODM Waiver Adaptive/Assistive Devices
Medicare Certified Home Health Agency - ODM Waiver Adult Day Health Center
Medicare Certified Home Health Agency - ODM Waiver Emergency Response Services
Medicare Certified Home Health Agency - ODM Waiver Supplemental Transportation
Medicare Certified Home Health Agency - Personal Care - Agency
Medicare Certified Home Health Agency - Social Work Counseling
Medicare Certified Home Health Agency - TDD Waiver Limited
Medicare Exempt
Medicare-Only Provider
Mental Health
Mental Health Clinic - Other Mental Health Clinic
Mental Health Specialist
Methadone Maintenance Clinic
Methadone Program
Midwife
Minor Care
Multi-Dependent/Other Licensure
Multi-Specialty Group
Music Therapy
Neonatology/Perinatal Medicine
Neopathology
Nephrology
Neurology
Neurology - Vascular
Neuro-Ophthalmology
Neuropathology
Neurophysiology - Clinical
Neuropsychology - Clinical
Neuroradiology
Newborn Eligibility
No longer in Use 13
No longer in Use 14
Non-Agency Home Care Attendant - DODD Waiver
Non-Agency Home Care Attendant - ODA Waiver
Non-Agency Home Care Attendant - ODM Waiver Non-Agency Home Care Attendant
Non-Agency Nurse - RN or LPN - Behavioral Health LPN
Non-Agency Nurse - RN or LPN - Behavioral Health RN
Non-Agency Nurse - RN or LPN - CANS Assessor (OhioRISE)
Non-Agency Nurse - RN or LPN - DODD Waiver
Non-Agency Nurse - RN or LPN - LPN - Private Duty Nursing
Non-Agency Nurse - RN or LPN - Multi-Dependent/Other Licensure
Non-Agency Nurse - RN or LPN - Multi-Independent Licensure
Non-Agency Nurse - RN or LPN - ODA Waiver
Non-Agency Nurse - RN or LPN - Pre-Natal Postpartum Nurse Home Visitor
Non-Agency Nurse - RN or LPN - RN - Private Duty Nursing
Non-Agency Nurse - RN or LPN - TDD Waiver Limited
Non-Agency Personal Care Aid - OhioRISE
Non-Agency Personal Care Aide - DODD Waiver
Non-Agency Personal Care Aide - Home Maintanence/Chore
Non-Agency Personal Care Aide - ODA Waiver
Non-Agency Personal Care Aide - ODM Waiver Non-Agency Personal Care Aide
Non-Covered
Non-State Operated ICF-MR - Privately Operated ICF-MR
Not Required
Nuclear Cardiology
Nuclear Medicine
Nuclear Radiology
Nurse
Nurse Midwife - Contracted
Nurse Midwife - Non-Contracted
Nurse Midwife Individual - DME Supplier
Nurse Midwife Individual - Nurse Midwife
Nurse Midwife Individual - RN - Private Duty Nursing
Nurse Practitioner - Geriatric
Nurse Practitioner - OB/GYN
Nurse Practitioner - Psych
Nurse Practitioner Clinic
Nurse Practitioner Individual - Acupuncture
Nurse Practitioner Individual - Acute Care
Nurse Practitioner Individual - Adult Health
Nurse Practitioner Individual - CANS Assessor (OhioRISE)
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 - Non-Institutional High-Cost Drugs
Nurse Practitioner Individual - Nurse Practitioner
Nurse Practitioner Individual - Obstetrics & Gynecology
Nurse Practitioner Individual - OhioRISE
Nurse Practitioner Individual - ORCB Licensed DME Supplier
Nurse Practitioner Individual - Orthotics and Prosthetics
Nurse Practitioner Individual - Palliative Care
Nurse Practitioner Individual - PDN/ODM Waiver Registered Nurse
Nurse Practitioner Individual - Pediatric
Nurse Practitioner Individual - Psych
Nurse Practitioner Individual - Psychiatric
Nurse Practitioner Individual - RN - Private Duty Nursing
Nurse Practitioner Individual - TDD Waiver Limited
Nursing
Nursing Facility - Dual Certified Pediatric Nursing Facility Outlier
Nursing Facility - Dual Certified Skilled Nursing Facility
Nursing Facility - Medicaid Only Nursing Facility
Nursing Facility - NF Vent Dependent 1
Nursing Facility - NF Vent Weaning 1
Nursing Facility - ODM Waiver Out-of-Home Respite
Nutrition
Nutritionist
OB/GYN
Obs & Gynecology Critical Care
Obstetrics
Occupational Medicine
Occupational Therapist - Individual - Medicare Exempt
Occupational Therapist - Individual - Occupational Therapy
Occupational Therapy
Occupational Therapy Assistant
Ocularists
ODA Waiver
ODA Waiver - Private Duty Nursing (Group)
ODJFS Waiver Out of Home Respite Waivered Svc Org
ODJFS Waiver Supplemental Transport Svcs
Ohio Department Of Mental Health Provider - 340B Pharmacy
Ohio Department of Mental Health Provider - Assertive Community Treatment (ACT)
Ohio Department Of Mental Health Provider - CANS Assessor
Ohio Department of Mental Health Provider - Community Mental Health Medical Services
Ohio Department of Mental Health Provider - Community Mental Health Professional Medicare Crossovers
Ohio Department of Mental Health Provider - Health Home
Ohio Department of Mental Health Provider - Health Home Spa2
Ohio Department of Mental Health Provider - Intensive Home Based Treatment (IHBT)
Ohio Department Of Mental Health Provider - MRSS Mobile Response and Stabilization Service
Ohio Department of Mental Health Provider - ODMH Community Health Agency
Ohio Department Of Mental Health Provider - OhioRISE
Ohio Department of Mental Health Provider - Peer Services
Ohio Department Of Mental Health Provider - QBHE - Qualified Behavioral Health Entity - Adult
Ohio Department Of Mental Health Provider - QBHE - Qualified Behavioral Health Entity - Child/Adult
Ohio Department of Mental Health Provider - Supported Employment
OMHAS Certified/Licensed Treatment Program - CANS Assessor
OMHAS Certified/Licensed Treatment Program - MRSS Mobile Response and Stabilization Service
OMHAS Certified/Licensed Treatment Program - ODADAS Certified/Licensed Treatment Program
OMHAS Certified/Licensed Treatment Program - ODADAS MARP Program
OMHAS Certified/Licensed Treatment Program - ODADAS Methadone Program
OMHAS Certified/Licensed Treatment Program - OhioRISE
OMHAS Certified/Licensed Treatment Program - OPIOID Treatment Program
OMHAS Certified/Licensed Treatment Program - QBHE - Qualified Behavioral Health Entity - Adult
OMHAS Certified/Licensed Treatment Program - QBHE - Qualified Behavioral Health Entity - Child
OMHAS Certified/Licensed Treatment Program - QBHE - Qualified Behavioral Health Entity - Child/Adult
OMHAS Certified/Licensed Treatment Program - SUD Residential Facility
Oncology
Oncology - Gynecologic
Oncology - Hematology
Oncology - Radiology
Open Heart Surgery
Opioid Treatment Program
Optician
Optician/Ocularist - Optical Company
Optician/Ocularist - Solo Practice Optician
Optometrist Individual - Optometry
Optometry
Oral Pathology
Orthodontic Prosthetics - Non A
Orthotics and Prosthetics
Osteopathic Manipulative Med
Osteopathy
Other
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 - ODM Waiver Supplemental Transportation
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
Pain Management
Palliative Care
Pancreas Transplant
Para-Professionals - CANS Assessor
Para-Professionals - Care Management Specialist
Para-Professionals - IPS-SE
Para-Professionals - Multi-Dependent/Other Licensure
Para-Professionals - Paraprofessional Bachelors
Para-Professionals - Paraprofessional Care Management Specialist
Para-Professionals - Paraprofessional HS/Ged
Para-Professionals - Paraprofessional Masters
Para-Professionals - Paraprofessional Peer Recovery Support
Para-Professionals - Paraprofessional QMHS
Para-Professionals - Paraprofessional QMHS+3
Para-Professionals - Peer Recovery Supporter
Para-Professionals - Qualified MH Specialist
Para-Professionals - Qualified MH Specialist 3
Pathology
Pediatric Allergy & Immunology
Pediatric Cardiology
Pediatric Child Abuse
Pediatric Critical Care Medicine
Pediatric Dentist
Pediatric Dentistry
Pediatric Dermatology
Pediatric Developmental Behavior
Pediatric Emergency Medicine
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Hematology/Oncology
Pediatric Infectious Disease
Pediatric Internal Medicine
Pediatric Neonatology
Pediatric Nephrology
Pediatric Neuro-Developmental Disability
Pediatric Neurology
Pediatric Ophthalmology
Pediatric Orthopedics
Pediatric Otolaryngology (Ear - Nose & Throat)
Pediatric Pathology
Pediatric Plastic Surgery
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
Pharmacy
Pharmacy - 340B PHARMACY
Pharmacy - DME Supplier
Pharmacy - DODD Waiver
Pharmacy - Home Infusion Pharmacy
Pharmacy - Immunization
Pharmacy - ODA Waiver
Pharmacy - ORCB Licensed DME Supplier
Pharmacy - Orthotics and Prosthetics
Pharmacy CLOSED DOOR PHARMACY
Pharmacy COMPOUND
Pharmacy DISPENSING PHYSICIAN
Pharmacy HOME INFUSION
Pharmacy INPATIENT HOSPITAL
Pharmacy LONG TERM CARE FACILITY
Pharmacy MAIL ORDER
Pharmacy ON-SITE/CLIENT OWNED
Pharmacy OUTPATIENT CLINIC
Pharmacy RETAIL
Pharmacy SOVEREIGN NATION
Pharmacy SPECIALTY
Pharmacy Supplies
Pharmacy TRIBALLY OWNED PROVIDER
Phychology - Geriatric
Physical Rehabilitation Medicine
Physical Therapist
Physical Therapist - Individual - Acupuncture
Physical Therapist - Individual - Medicare Exempt
Physical Therapist - Individual - Physical Therapy
Physical Therapy
Physical Therapy & Rehabilitation
Physical Therapy Assistant
Physician Assistant
Physician Assistant - Acupuncture
Physician Assistant - Anesthesia
Physician Assistant - DATA 2000 Waiver Practitioners (MAT)
Physician Assistant - OhioRISE
Physician Assistant - Physician Assistant
Physician Osteopath Individual - Obstetrics & Gynecology
Physician/Osteopath Individual
Physician/Osteopath Individual - Abdominal Surgery
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 - CANS Assessor
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 - Clin. & Lab. Immunology (Internal Med.)
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. (Anesthesiology)
Physician/Osteopath Individual - Critical Care Med. (Internal Med.)
Physician/Osteopath Individual - Critical Care Med. (Neurological Sur.)
Physician/Osteopath Individual - Cytopathology
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 - Diabetes
Physician/Osteopath Individual - Diagnostic Radiology
Physician/Osteopath Individual - DME Supplier
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 - Head & Neck Surgery
Physician/Osteopath Individual - Hematology
Physician/Osteopath Individual - Hematology/Oncology
Physician/Osteopath Individual - Hepatology
Physician/Osteopath Individual - Immunology
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 - Maxillofacial Radiology
Physician/Osteopath Individual - Medical Toxicology (Emer. Medicine)
Physician/Osteopath Individual - Musculoskeletal Oncology
Physician/Osteopath Individual - Neonatal - Perinatal Medicine
Physician/Osteopath Individual - Nephrology
Physician/Osteopath Individual - Neurology
Physician/Osteopath Individual - Neurology/Diag Rad/
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 - Otology/Neurotology
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 - Proctology
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
Physician/Ostepath Individual - CPC - Pediatrics
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 Nursing - LPN
Private Duty Nursing - RN
Proctologist
Professional Dental Group - Professional Dental Group
Professional Medical Group - 340B Pharmacy
Professional Medical Group - Acupuncture
Professional Medical Group - Certified Ohio Behavior Analyst
Professional Medical Group - CPC - Practice Partnership
Professional Medical Group - CPC - Single Practice
Professional Medical Group - OhioRISE Care Management Entity
Professional Medical Group - Professional Medical Group
Prosthetic/Orthotic
Prosthodontics
PRS High School
PRS QMHS High School
PRS QMHS QMH3 High School
Psych Facility - Free-Standing
Psychiatric Hospital
Psychiatric Hospital - IMD
Psychiatric Hospital - Inpatient Psychiatric Facility Services
Psychiatric Hospital - OhioRISE Care Management Entity
Psychiatric Nurse
Psychiatric Residential Treatment Facility - Psychiatric Residential Treatment Facility
Psychiatry
Psychiatry - Board Certified
Psychiatry - Facility
Psychiatry - Forensic
Psychiatry - Geriatric
Psychology
Psychology - Board Licensed School Psychologist
Psychology - CANS Assessor
Psychology - HSPP
Psychology - Licensed Psychologist
Psychology - Medicare Exempt
Psychology - Multi-Dependent/Other Licensure
Psychology - Multi-Independent Licensure
Psychology - Neuropsychology
Psychology - Psychology Assistant
Psychology - Psychology Intern
Psychology - Psychology Trainee
Public Health
Public Health - Federal
Public Health - State or Local
Public Health Dentistry
Pulmonary Medicine
QMH3 Bachelors
QMH3 High School
QMH3 Masters
QMHS Bachelors
QMHS High School
QMHS Masters
QMHS QMH3 Bachelors
QMHS QMH3 High School
QMHS QMH3 Masters
Qualified Non-Par Labs
Radiation Therapy
Radiology
Radiology Diagnostics Center
Radiology-Mobile Unit
Recovery Care
Reg Noncredentialed Providers
Registered Dietician
Registered Dietitian Nutritionist - Registered Dietitian Nutritionist
REGISTERED NON-CREDENTIALED
Registered Nurse
Rehabilitation Clinic
Rehabilitation Hospital
Rehabilitation Services
Reproductive Endocrinology
Resident
RESIDENT
Residential Training and Super
Residential Treatment Center
Respite Care
Respite Care - Out of Home
Retail Clinic
Rheumatology
Rural Health
Rural Health Center
Rural Health Clinic
Rural Health Clinic - CPC - Practice Partnership
Rural Health Clinic - Medical
Rural Health Clinic - RHC Medical and Behavioral Health
Rural Health Clinic - Rural Health Clinic Medical (Facility)
School-Child Health Svcs
Skilled Nurse Services
Skilled Nursing Facility
Skilled Nursing/Extended Care
Sleep Medicine
Social Work - CANS Assessor
Social Work - Community Transition
Social Work - Licensed Independent Social Worker
Social Work - Licensed Social Worker
Social Work - Medicare Exempt
Social Work - Multi-Dependent/Other Licensure
Social Work - Multi-Independent Licensure
Social Work - OhioRISE
Social Work - Social Worker Assistant
Social Work - Social Worker Trainee
Social Work Counseling
Social Worker
Social Worker - Psychiatric
Social Worker LISW/LCSW
Specialist/Technologist
Speech & Hearing
Speech Language Pathologist
Speech Language Pathologist - Individual - Medicare Exempt
Speech Language Pathologist - Individual - Speech Language Pathology/Therapy
Speech Pathologist Assistant
Sports Medicine
State of Ohio Department Agency - ODADAS (Ohio Department of Alcohol and Drug Addiction Services)
Substance Abuse Program
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
Surgery Oral
Surgical - Critical Care
Swingbed Hospital
Telemedicine
Telemedicine Presentation Site
Teleradiology
Therapeutic Radiology
Thoracic Surgery
Transportation Encounter/Trip Transport-Enc-Trip
Urgent Care / After Hours
Urogynecology
Urology
VA
Vascular Neurology
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 - Community Transition
Waivered Services Individual - DODD Waiver
Waivered Services Individual - Home Maintanance/Chore
Waivered Services Individual - ODA Waiver
Waivered Services Individual - ODM Waiver Supplemental Transportation
Waivered Services Organization - Community Integration
Waivered Services Organization - Community Transition
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 - ODM Waiver
Waivered Services Organization - ODM Waiver Adaptive/Assistive Devices
Waivered Services Organization - ODM Waiver Adult Day Health Center
Waivered Services Organization - ODM Waiver Emergency Response Services
Waivered Services Organization - ODM Waiver Home Delivered Meals
Waivered Services Organization - ODM Waiver Home Modifications
Waivered Services Organization - ODM Waiver Non-Agency Personal Care Aide
Waivered Services Organization - ODM Waiver Out-of-Home Respite
Waivered Services Organization - ODM Waiver Supplemental Transportation
Waivered Services Organization - OhioRISE
Waivered Services Organization - OhioRISE Care Management Entity
Waivered Services Organization - Peer Services
Waivered Services Organization - Personal Care - Agency
Waivered Services Organization - Social Work Counseling
Waivered Services Organization - Supported Employment
Waivered Services Organization - TDD Waiver Limited
W-Alcohol and Drug
W-Assisted Living
W-Chore Services
W-Community Transition
W-Emergency Response
Wheelchair Van - ODA Waiver
Wheelchair Van - ODM Waiver Supplemental Transportation
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