Envolve Vision, doing business as Centene Vision Services, connects local communities with expert eye care. We prioritize building strong relationships and delivering a seamless provider experience to support better health outcomes.

Partners Health Management Tailored Plan has partnered with Centene Vision Services to administer vision benefits. For the most up-to-date and detailed information, we encourage providers to register for Eye Health Manager at:
https://visionbenefits.envolvehealth.com/logon.aspx

Eye Health Manager allows you to:

• Verify member eligibility and benefits
• View plan specifics and clinical policies
• Submit and track authorizations and claims

Additional Support Options:

• Automated IVR system: Available 24/7 for member eligibility verification
• Provider Services Line: Speak with a team member Monday–Friday, 8 a.m. to 8 p.m. local time at 833-224-0516

Key Contacts

Routine Eye Exam	Centene Vision Services: 833-224-0516
Eyeglasses PA or Policy	NCTracks: 800-688-6696
Eyeglasses Fabrication	Nash Optical Plant: 888-388-1353
Eyeglasses Dispensing Fee	Centene Vision Services: 833-224-0516
Medically Necessary Contact Lenses	Centene Vision Services: 833-224-0516

Important Reminders

• All eyeglasses frames, lenses, and fabrication are carved out of managed care. Prior authorization and clinical coverage policy inquiries should be directed to NCTracks.
• Nash Optical Plant fabricates all eyeglasses. Contact them directly for order receipt or fabrication status.
• Do not contact Carolina Complete Health, Trillium, or Partners directly about eyeglasses approvals, policies, or fabrication.
• NC Medicaid contracts with Nash Optical Plant to fabricate fee-for-service eyeglasses. Providers must:
  • Obtain prior approval through NCTracks.
  • After dispensing, submit dispensing fee claims to Centene Vision Services.
  • Provide both Medicaid eye exams and eyeglasses if services are offered in-office.
• Opticians are qualified to provide visual aids (eyeglasses and contact lenses).

Member Eligibility Guidelines

For Members Under 21:

• One routine eye exam (with or without refraction) every 12 months
• One pair of eyeglasses every 12 months
• Medically necessary contact lenses, if applicable
• Fitting and dispensing of visual aids

For Members 21 and Older:

• One routine eye exam (with or without refraction) every 24 months
• One pair of eyeglasses every 24 months
• Medically necessary contact lenses, if applicable
• Fitting and dispensing of visual aids

Provider Resources

Provider Web Portal	https://www.envolvevision.com/logon
Customer Service – Eligibility & Claims	833-224-0516
Fraud, Waste and Abuse Reporting	866-685-8664
Paper Claims Mailing Address	Centene Vision Services Attn: Claims PO Box 7548 Rocky Mount, NC 27804
Electronic Claims Submission	Change Healthcare Payer ID: 56190
Claim Appeals Mailing Address	Centene Vision Services Attn: Claim Appeal Committee PO Box 7548 Rocky Mount, NC 27804

 When calling Centene Vision Services, please have the following ready:

• National Provider Identifier (NPI)
• Tax Identification Number (TIN)
• Member’s Medicaid ID or Carolina Complete Health ID number

Print the Partners Provider Vision Services Guide (.pdf).