Health Care Partners
Where to Get Care
CareSource strives to provide the information about your benefits online so that you can find what you are looking for quickly and easily. To get more details, please see the member handbook.
Each member of CareSource has a Primary Care Provider (PCP). Your PCP is an individual physician, physician group practice, advanced practice nurse or advanced practice nurse group practice trained in family medicine (general practice), internal medicine or pediatrics. Your PCP is your personal doctor. He or she will:
- Work with you to direct your health care
- Treat you for most of your health needs
- Send you to a specialist, if needed
- Admit you to the hospital
If you haven’t chosen a PCP yet, you can call Member Services or log on to My CareSource for more information.
You may be a new patient to your PCP. If so, call to schedule a visit. This will help your PCP get to know your health needs right away. You should go within 90 days of joining CareSource.
Please keep all appointments you make. If you need to cancel or change times, call your doctor. You should call at least 24 hours in advance.
Your PCP helps you get preventive care. Make regular visits to your PCP. You should do this even if you do not feel sick. Routine checkups can help your PCP find problems early. Then they can be treated before they get worse.
Preventive care includes:
- Regular checkups
- Immunizations for children
- Tests and screenings, when needed
You should see your PCP for all routine visits. Some examples are:
- Routine checkups and tests
- Sore throat
- Removal of stitches
- Pain management
Retail Health Clinics
If you are not able to see your PCP, we want to make it easy for you and your family to get medical help when you need it most. CareSource members (18 months and older) can go to select Walgreens Healthcare Clinics to see board-certified family nurse practitioners for basic care. At the clinic, you can:
- Get vaccines
- Get health screenings, physicals and wellness visits
- Get care for aches and pains, illnesses and minor injuries
At Walgreens Healthcare Clinics, walk-ins are welcome and the clinic is open 7 days a week.
If you are a CareSource member and live in Ohio, you can call 855-WALGREENS (855-925-4733) or visit walgreens.com/topic/pharmacy/healthcare-clinic.jsp for a complete list of services and to find locations near you.
Where to Get Care After Hours
Urgently needed care is care you get for a sudden illness, injury or condition that isn’t an emergency but needs care right away.
You can visit an urgent care center for non-emergency situations to keep an injury or illness from getting worse. You can go when your PCP's office is closed.
If you aren't sure, you can:
- Call your PCP and ask. You can call your PCP, or a back-up doctor, at any time.
- Call our toll-free, 24-hour nurse advice line at 1-866-206-0554.
- Go to an urgent care center listed in our Find a Doctor/Provider tool or your provider directory. After you go, always call your PCP to schedule follow-up care.
When you are outside the service area, you might not be able to get care from a network health partner. In that case, our plan will cover urgently needed care you get from any health partner within the United States or its territories.
If you have an emergency situation now, such as a heart attack or broken bone, call 9-1-1 or go to the nearest emergency room. An emergency is something you think is so serious that it must be treated right away by a doctor. We cover care for emergencies both in and out of the county where you live. Examples are:
- Miscarriage/pregnancy with vaginal bleeding
- Severe chest pain
- Loss of consciousness
- Uncontrolled bleeding
- Major burns
We are excited to announce that Walmart is partnering with CareSource to offer vision services to CareSource Medicaid members in Ohio.
- All Walmart Vision Centers will offer optical goods to CareSource members, as defined in the CareSource benefit structure listed under Covered Services.
- Select Walmart Vision Centers will offer eye exams to CareSource members, as defined in the CareSource benefit structure listed under Covered Services.
You must contact your desired location to verify that the optometrist is in-network prior to scheduling an appointment.
Find a Walmart Vision Center
There are two ways you as a member can find a Walmart Vision Center. One way is to visit Find a Doctor/Provider. In Step 1, enter your ZIP code. Select vision providers at the bottom of the list in Step 3, and click Search.
The second choice is to visit the Walmart website, where you can find a store by clicking "Store Finder" at the top of the page. After you pull up a map for the stores near you, click “Refine your store search” and click the box “Vision Center.” Click “Find” and this will show you the stores near you with a Vision Center.
Please note that while CareSource strives to keep our records up-to-date, members must call before having services to make sure the vision provider takes CareSource Ohio Medicaid.
If you ever have a question or need to contact CareSource, please call Member Services at 1-800-488-0134 (TTY for the hearing impaired: 1-800-750-0750 or 711). Member Services is open Monday through Friday, 7 a.m. to 7 p.m.