Centene Vision Services is a leader in exceptional, tailored vision benefits and services for Medicaid, Medicare, and Marketplace member products. Every quarter we share key news that you can use to best serve your patients.

Eye Health Manager Provider Portal Is Now Live

The new Eye Health Manager (EHM) provider portal is now live. The updated site offers the same tools, features and functionality you already use, with improved navigation and a refreshed design to make managing your day-to-day activities easier.

Access the EHM at centenevision.com/logon.

Need help getting started? Refer to the EHM User Guide for step-by-step instructions and additional support.

Thank you for your partnership and for helping us enhance the tools and resources available to our provider network.

Local Market Reminders

Below are important upcoming changes:

• Delaware Medicare: Wellcare Medicare and Applicable Integrated Plans (AIP) available beginning Jan. 1, 2027.
• Florida Medicaid: As of Oct. 1, 2026, Centene Vision no longer administers vision benefits for Children’s Medical Services members.
• Indiana Medicaid: Effective Oct. 1, 2026, Managed Health Services (MHS) will no longer offer value-added vision benefits beyond the standard Medicaid vision benefit.
• North Carolina Medicaid: Effective Oct. 1. 2026, Partners Tailored Plan and Vaya Health will merge to form Vaya Partners.
• Pennsylvania Medicare: Wellcare Medicare and Applicable Integrated Plans (AIP) available beginning Jan. 1, 2027.

Plano HAL Lenses May Help Delay Myopia Onset in At-Risk Children

Emerging research suggests that plano highly aspherical lenslet (HAL) spectacle lenses may help delay the onset of myopia in children who are not yet myopic but are at risk of developing it. In a retrospective study of children ages 4 to 9, researchers found that plano HAL lenses significantly slowed axial eye growth and reduced progression toward myopia when compared to pre-treatment rates.

The findings indicate that this lens technology, already used to manage myopia progression in children with myopia, may also provide benefits earlier in the disease process. Researchers also found that greater lens wear time was associated with improved outcomes.

When speaking with parents, explain that some children are at higher risk of developing myopia and that early intervention strategies may help slow changes in eye growth. For appropriate candidates, discuss plano HAL lenses as a potential option to help delay myopia onset, while emphasizing the importance of regular comprehensive eye exams and consistent lens wear as recommended by the eye care provider.

Source: NIH - Effectiveness of Spectacle Lenses with Highly Aspherical Lenslets in Slowing Axial Elongation Among Non-Myopic Children

Help Members Connect with Your Practice

Your provider directory listing plays an important role in helping members find and connect with your practice. Whether patients are searching for an in-network provider, confirming office details or scheduling an appointment, accurate information makes the process easier and helps ensure they receive the care they need.

Take a few moments to review your listing using the Find a Provider tool. Verify that your practice name, address, phone number, office hours and specialties are current. Remember, the information displayed in the directory is what members see when searching for vision care providers.

If your office has recently experienced changes, such as a new location, updated contact information, modified office hours or changes to participating providers, please submit the appropriate update as soon as possible. Keeping your information current helps improve the member experience and supports access to care.

To make changes, complete the appropriate form on the provider forms page or contact Customer Service for assistance.

Need to Submit a Claim? We've Got Options

Providers have three easy options for submitting claims: online, electronically or by mail.

• Online: Use the Eye Health Manager (EHM) at centenevision.com/logon to submit directly into our claims system. This method provides immediate confirmation of receipt. If you do not currently have access to the EHM, call Network Management at 800-531-2818.
• Electronic: Submit claims electronically through Change Healthcare using Payor ID 56190 (Centene Vision or Envolve Vision). For setup, call 800-845-6592.
• Mail: Send claims on an original CMS 1500 form. Ensure all information is complete and legible for processing. Mail to the address listed within the appropriate Plan Specific.

Choose the method that works best for your practice and ensure timely, accurate submissions.

Supporting Better Outcomes Through Diabetic Care Coordination

Vision providers are an important part of the diabetes care team. Regular diabetic eye exams can help detect vision-threatening complications early and support better overall health outcomes. The CDC recommends routine eye examinations for people with diabetes because the disease can damage blood vessels in the eyes and affect vision.

When diabetic retinopathy screenings and retinal exam results are communicated promptly, providers can help identify patients who may need additional medical follow-up. Encouraging patients to stay current with both their eye exams and diabetes care appointments can help reduce the risk of vision loss and other diabetes-related complications.

Working together across specialties helps improve patient outcomes, supports preventive care efforts and reinforces the importance of regular diabetic eye examinations as part of a patient's overall health journey.

Source: CDC - Your Diabetes Care Team

Health Literacy: Supporting Better Patient Understanding

Health literacy refers to a patient's ability to find, understand and use health information to make informed decisions about their care. In an eye care setting, clear communication can help patients better understand their vision benefits, treatment recommendations and the importance of routine eye exams.

Consider using plain language, avoiding medical jargon and providing instructions in a clear, easy-to-understand format. Asking patients to repeat key information in their own words can also help confirm understanding and identify opportunities for additional education.

By promoting health literacy, providers can help improve patient engagement, encourage adherence to treatment plans and support better health outcomes. Taking a few extra moments to ensure patients understand their care can make a meaningful difference in their overall healthcare experience.

Improve the Health of Diabetic Members

Help your patients with diabetes and reduce administrative burdens. Centene Vision Services offers a dedicated HEDIS Training and Tips website to determine CPT II and other supplemental codes to use for diabetic retinal exams. Routine retinal evaluation is recommended to reduce the risk of diabetes-related blindness.

You may be eligible for a $10 CPT II reporting incentive. Please ensure your billing staff submits a billed rate of at least $10 to receive the maximum reimbursement for this incentive program. Review your fee schedule and remember to submit the appropriate CPT II codes referenced at HEDIS Training and Tips.

REMINDER: Glaucoma disproportionately affects Black and Hispanic individuals. They are more likely to develop vision loss and experience blindness from glaucoma than White individuals.

Vision Care by the Numbers

About Us

A subsidiary of Centene for more than 30 years, Envolve Benefit Options, doing business as Centene Vision Services, has partnered with vision care providers across the country to administer eye care programs that meet the needs of our members. You are among 23,000+ unique eye care providers, including independent providers and popular retail chains, within our network. Thank you for partnering with us to provide quality vision services to your patients.