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CareSourceMedicaid · Administrative · Specialty Services · IN · Ophthalmology, OptometryHigh impact

[Indiana] Routine Vision Benefits

Act
by Apr 30, 2026
Effective date
May 1, 2026
Identified
May 9, 2026

Summary

Effective May 1, 2026, CareSource is transitioning routine vision benefit administration from Versant/Superior Vision to EyeMed for all Indiana Medicaid members. Billing teams must route claims to EyeMed (P.O. Box 8504, Mason, OH 45040; EDI Payer ID 31165) for dates of service on or after May 1, 2026, while continuing to submit pre-May 1 claims to Versant/Superior Vision. Medical vision benefits remain with CareSource.

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What to do

by Apr 30, 2026 · 5 steps
01Billing team must update claim routing procedures and billing system configuration to direct all routine vision claims with dates of service May 1, 2026 or later to EyeMed Vision Care (P.O.
02Box 8504, Mason, OH 45040; EDI Payer ID 31165).
03Verify EyeMed online claims system access and member benefit details.
04Update internal documentation and provider notices to reflect the vendor change.
05For dates of service on or before April 30, 2026, continue submitting claims to Versant/Superior Vision per existing procedures.
If missed: Failure to route claims to the correct vendor will result in claim denials or processing delays.

Original notice

[Indiana] Routine Vision Benefits
caresource.com · Always check the source before changing claims.
View original ↗

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