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Coordinated Services Program FAQ

Coordinated Services Program Frequently Asked Questions

  1. What is the Coordinated Services Program (CSP)?
  2. What does CSP enrollment mean for me?
  3. How do I select my CSP providers?
  4. Can I change my CSP providers?
  5. What if I can’t access my designated CSP provider(s)?
  6. How long will I be in CSP?
  7. What if I have problems or questions?
  8. What if I am in CSP in the Fee-For-Service Medicaid program?

1. What is the Coordinated Services Program (CSP)?

CSP is a health and safety program in which use of controlled substances is monitored and members are assigned to designated providers. A designated provider is usually a pharmacy but may include a single prescriber. In some situations, members are assigned to both a single pharmacy and single prescriber. CSP enrollees must get medications using their designated provider(s) and should coordinate medical services through their primary care provider (PCP).

2. What does CSP enrollment mean for me?

You will still be able to get all medically necessary Medicaid-covered health care services in CSP. However, you will be assigned one pharmacy to fill your prescriptions, and/or one designated provider who writes your prescriptions for controlled substances and abuse potential drugs, if applicable. If you go to a different pharmacy without approval, your medication cannot be dispensed at that location.

You should also have a primary care provider (PCP) to coordinate your health care services with other providers. Except in an emergency, you should contact your PCP before seeing other providers. By knowing your complete medical history, including the providers you see and the medicines you take, your PCP and pharmacy can take better care of you.

You are also eligible to receive care management services through your managed care organization (MCO) or manage care entity (MCE). If you would like to know more about care management or request a care manager, please contact your MCO or MCE Member Services Department.

3. How do I select my CSP providers?

You must contact your MCP within 30 days of the mailing date of the notice informing you of your CSP enrollment. If you do not contact your MCO or MCE by this date, providers will be selected for you. You will receive a new member ID card that lists the name of your CSP providers.

4. Can I change my CSP providers?

Changes to assigned CSP providers are limited to the following situations:
To change your CSP provider you must contact your MCO or MCE to request the change.

5. What if I can’t access my designated CSP provider(s)?

If you are temporarily unable to access services through your designated provider(s), your MCO or MCE may give approval for you to use a different CSP provider. Please call your MCO or MCE or the 24-hour medical advice line if you are having an issue accessing your designated provider(s).

6. How long will I be in CSP?

Your initial enrollment in CSP period is twenty-four [24] months. Before the end of the twenty-four-month time period, you will receive a notice if you will continue in CSP. If you are to continue in CSP you will be notified of your right to a state hearing.

7. What if I have problems or questions?

If you have questions or problems with CSP, you should contact your MCO or MCE Member Services department for help. You can also contact the Medicaid Hotline at 1-800-324-8680 or TTY 1-800-292-3572.

8. What if I am in CSP in the Fee-For-Service Medicaid program?

If you are enrolled in the Fee-For-Service Medicaid CSP program please visit https://pharmacy.medicaid.ohio.gov/coordinated-service-program for more information.