...with information sufficient to identify the member, shall be deemed notice to us. Submit claims to: CareSource, P.O. Box 8730, Dayton, OH 45401-8730 See your EOC or call Member Services...

...if the member is suffering from a serious condition that requires urgent treatment. Members may also submit a formulary exception via phone, fax or an online form – Member Exception...

...members, emphasizing: Accessibility to care Availability of services and practitioners Health outcomes Internal monitoring review and evaluation of program areas, including Utilization Management, Care Management and Pharmacy services Medical, Behavioral...

...CareSource of members who may benefit from case management. Please see the “Member Support Services and Benefits” section on how to refer members for case management. In addition, CareSource PCPs...

...Family Services Contact Us If you are not finding the information you need or have more questions, please call us. Our Provider Services staff is happy to assist you. CONTACT...

...their care can effectively coordinate their care We recommend that you check member eligibility each time a member presents for services, as member eligibility can fluctuate. Changes in health status...

...and/or the denied claim If filing an appeal on behalf of a member or for pre-service issues, the member’s written consent (or signed Appointment of Representative form(coming soon) for dual...

...app and view your ID card on the go. Or, you can call Member Services for a new member ID card. How do I get a new CareSource member handbook...

...Member Services Members access Member Services by calling our toll-free number, 1-855-202-0729 (TTY for the hearing impaired: 1-800-255-0056), 7 a.m. – 7 p.m. Eastern Standard Time (EST), and following the...

...Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook EVIDENCE OF COVERAGE (EOC) The EOC is an important legal document that describes...