CareSource’s Interoperability APIs are developer-friendly, FHIR-based APIs that allow third-party applications and vendors to connect their systems to CareSource patient and provider information. These Interoperability APIs enable CareSource members to...

...Determination Online: Complete the Coverage Determination Request Form online. Call: Member Services Fax or Mail: Download the Coverage Determination Request Form and fax or mail it to us. Fax: 1-877-251-5896...

...waste, and abuse (FWA) To enable future pharmacists to find formulary information and understand the purpose of prior authorizations To positively impact the next generation of pharmacists Expectations and Responsibilities...

...on when a prior authorization is required. You can also review our prior authorization list. Supplemental Benefits For 2026, CareSource Marketplace Plans feature the following supplemental benefits: TruHearing® provider network...

...our other plans, if you qualify for Advance Premium Tax Credits (APTC), they can help lower your premiums. Every simple and affordable CareSource Marketplace plan offers coverage for pre-existing conditions...

...them you want to choose CareSource. Switch to CareSource If you were assigned to another managed care plan and want to switch to CareSource, call the Ohio Medicaid hotline, complete...

...Urine Drug Screening Prior Authorization Form – Submit this form when requesting prior authorization for urine drug screenings Submit the SUD 1115 Waiver Universal PA Form to request prior authorization...

...you can use. Forms We want you to easily find the forms you need for your CareSource plan. Visit the Forms page to find any form when you need it....

...on the left side (bottom) of the page to find a pharmacy near you. Covered Prescriptions CareSource uses a Prescription Drug Formulary (or just Formulary). Your Formulary is a list...

...Authorization Changes Effective October 1, 2025 09/01/2025 Summary of Formulary/Prior Authorization Changes Effective July 1, 2025 06/01/2025 Summary of Formulary/Prior Authorization Changes Effective April 1, 2025 03/01/2025 Summary of Formulary/Prior...