...of multiple claims that involve the same or similar payment or coverage issues, regardless of the number of individual members or payment claims included in the bundled complaint or appeal....

...providers using guidelines from the Indiana Office of Medicaid Policy and Planning (OMPP) and the National Committee for Quality Assurance (NCQA).CareSource credentials providers using guidelines from the Indiana Health Coverage...

...guide the provision of clinical care to beneficiaries. CPGs do not create new benefits or coverage rules and shall not supersede or replace the requirements of the TRICARE Policy Manual,...

...your Evidence of Coverage (EOC) for more information about how drugs are included or not included on your Formulary. We want to make sure our members get the safest, most...

...coverage information. You can still get your non-specialty medications through your local pharmacy. Do you have general questions about specialty pharmacy? Call Member Services. Your CareSource plan includes pharmacy benefits....

...in your Evidence of Coverage. You can also visit the National Hospice and Palliative Care Organization’s website CaringInfo.org or call 1-800-282-6556. Guardianship A guardian is someone chosen by a court...

...receive BOTH Medicare and Medicaid benefits. Our CareSource® MyCare Ohio (HMO D-SNP) plan combines your Medicare and Medicaid into one simple plan, giving you coverage that fits your needs and...

...Learn More Renew Your Benefits Renew Your Benefits Don’t lose your Medicaid coverage. Learn how to keep your plan coverage. Learn More Find A Doctor Find A Doctor Need a...

...Ohio coverage area, we will offer two Medicare Advantage HMO plans and one Dual Special Needs plan in select counties in Indiana, Kentucky and Georgia for the 2021 plan year....

...questions and more. Education Who can get CHIP? Eligible children up to age 19 can get CHIP coverage. Children who qualify for Medicaid or have health insurance cannot get CHIP....