Provider Resources
Find your Account Executive
Our user-friendly tools and resources are designed to support Ohio’s Medicaid providers and your staff in giving members excellent and efficient health care.
We offer the following resources to assist you and your staff.
Working with AmeriHealth Caritas Ohio
- Find your Account Executive
- Fraud, waste, and abuse
- Provider Reference Guide (PDF)
- Let Us Know
- NaviNet
- Prior authorizations
- Sign up for email alerts
- Peer-to-Peer line
- Provider Advisory Council
- Provider policies
Member care
- Ohio PCP change form (PDF)
- Behavioral Health Toolkit (PDF)
- Doula Services (PDF)
- EPSDT/Healthchek
- Fluoride Varnish Application Toolkit (PDF)
- Vision benefits (PDF)
If you are one of our contracted providers, read the vision benefits PDF for benefit information. If you are an out-of-network provider and would like to provide care to one of our members, we encourage you to contact our Contracting department at providerrecruitmentoh@amerihealthcaritas.com to become part of our provider network. However, if you wish to provide immediate care to one of our members, please reach out to our Utilization Management department at 1-833-735-7700 to start a prior authorization request.
Quality care
- Culturally competent care
- HEDIS FAQ (PDF)
- Quality Assurance and Performance Improvement program
- Reducing Disparities in the Management of Hypertension in African American Patients
Ohio Medicaid managed care requirements
If you need more information or can't find an answer to your question, check your provider manual (PDF). You can also call AmeriHealth Caritas Ohio Provider Services at 1-833-644-6001.
Value-based programs
- Ohio Medicaid Managed Care Organizations (MCOs) Consolidated Resource Guide for Ohio Comprehensive Maternal Care (CMC) (PDF)
- Ohio Medicaid Managed Care Organizations (MCOs) Consolidated Resource Guide for Ohio Comprehensive Primary Care (CPC) (PDF)
- PerformPlus® Portfolio (PDF)
- PerformPlus® Maternity Episodic Cost Manual (PDF)
- PerformPlus® Total Cost of Care for Primary Care Physicians provider manual (PDF)
If you need more information or can't find an answer to your question, check your provider manual (PDF). You can also call AmeriHealth Caritas Ohio Provider Services at 1-833-644-6001.