- Coordinated Services Program FAQ
Coordinated Services Program FAQ
Coordinated Services Program Frequently Asked Questions
1. What is the Coordinated Services Program (CSP)?
CSP is a health and safety program which protects members who exceed expected use. Members are assigned to and must use designated providers for their health care services, including prescription medication. Individuals eligible for Ohio Medicaid may be selected for enrollment in the CSP. Initial enrollment in the program is for a 24-month period.
2. What does CSP enrollment mean for me?
Individuals in CSP are still able to access all medically necessary services. However, you must select one pharmacy to fill your prescriptions, and/or one designated provider who writes your prescriptions. If you go to a different pharmacy without approval, your medication will not be covered. You also have a Primary Care Provider to coordinate your health care services with other providers. Except in an emergency, you should contact your Primary Care Provider before seeing other providers. By knowing your complete medical history, the providers you see, and the medicines you take, your Primary Care Provider and your pharmacy can coordinate your care. You are eligible to receive care management services, through your MCP. If you would like to know more about care management or request a care manager, please contact your MCP’s 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 brochure informing you or your selection to enter CSP. If you do not contact your MCP by this date, providers will be selected for you. You will receive a new MCP 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:
- The provider is closing or moving too far away for you to visit.
- You moved and are too far away to visit the provider.
- You are no longer medically able to get to the provider.
- The provider is no longer on the MCP’s panel.
- The provider no longer wants to provide you services.
- You change to another MCP or to regular Medicaid and the provider does not accept the new coverage.
- You have a medical need that requires a different provider specialty.
To change your CSP provider you must contact your MCP 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 MCP may give approval for you to use a different CSP provider. You can call your MCP or the 24-hour medical advice line if you are having an issue accessing your designated provider(s).
6. What if I have problems or questions?
If you have questions or problems with CSP, you should contact your MCP’s Member Services for help. You can also contact the Medicaid Hotline at 1-800-324-8680
or TTY 1-800-292-3572