File a Grievance

How to Contact Us

‘You can tell us about your complaint or grievance in these ways:

  • Call Member Services
  • Fill out the Member Grievance/Appeal Form. To have the form mailed to you, call Member Services.
  • Write a letter telling us what you are unhappy about. Please include:
    • Your first and last name
    • Your CareSource member ID number
    • Your address and telephone number
    • Any information that helps explain your problem

If you have chosen an authorized representative, remember to fill out the Appointment of Representative Form.

Mail the form or letter to:

Attn: Member Grievance & Appeals
P.O. Box 1947
Dayton, OH 45401-1947

How to Contact Medicare and Medicaid

If you are a MyCare Ohio member who is covered by CareSource for both Medicare and Medicaid, you have the right at any time to file a complaint about your health care plan with Medicare.

File a complaint by contacting the:

Ohio Department of Medicaid
Bureau of Managed Care
P.O. Box 182709
Columbus, Ohio 43218-2709

You can complete the online Medicare Complaint Form or call 1-800-Medicare (1-800-633-4227), 24 hours a day, seven days a week. TTY users should call 1-877-486-2048 or 711.

Have you Received a Bill?

If your grievance is about getting a bill for care, call the phone number on the bill and:

  • Make sure they have your CareSource member ID number, or
  • Give them the primary insurance for the family member who received the care.

If they tell you they have this information, please ask them why you are receiving a bill.

After you have done this, please Member Services and tell us the following information from your bill:

  • Date you or your family member received services
  • Amount of the bill
  • Provider’s name
  • Telephone number
  • Account number
  • Tell us why the provider’s office told you they were billing you.

Our Commitment to You

After we have reviewed your situation, CareSource MyCare Ohio will call you with an answer to your grievance within:

  • 2 working days for grievances about not being able to get medical care
  • 30 calendar days for all other grievances

If we cannot reach you by phone, we will send you a letter.

Member Services: 1-855-475-3163 (TTY: 1-833-711-4711 or 711), 8 a.m. to 8 p.m., Monday – Friday.