As an entity that offers Medicaid and Medicare coverage, CareSource® is required to comply with certain provisions of the Deficit Reduction Act. One such provision requires us to provide you...

...for your medicines may change. Use the Find a Pharmacy tool to find a pharmacy near you. While we cover all medically necessary Medicaid-covered medications, we use a Preferred Drug...

...on our Plan Documents page. We have more detailed information on these pages: Medicare Advantage Part C Medical Plan Rights Medicare Advantage Part D Prescription Drug Plan Rights Ending Your...

...View Chapter 3 Using the plan for your medical and other covered services in your Evidence of Coverage (EOC) on the Plan Documents page for full information on in-network and...

...Drug Rebate Program (MDRP) Coverage Rules – AC Reject Medical Necessity – Off Label Medical Necessity for DAW Medical Necessity for Non-Formulary Medications Multi-ingredient Compound Policy # A B C...

...Medicare You can get a printed copy by calling Medicare at the number listed below. Call Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users...

...of our health plan and the Ohio Department of Medicaid (ODM) as outlined in this manual. Providing 30 days of emergency coverage to any CareSource patient dismissed from the practice....

...with traditional Medicare Providers need to confirm the CareSource MyCare Ohio member’s option for Medicare coverage. Important Tools Provider Portal Member ID Card You can easily verify member eligibility by...

...use and prevention Safe Medication Management DisposeRx Medication disposal resources and education Naloxone Utilization and education Benefits Behavioral Health Covered Benefits and Services Behavioral health covered services per market and...

...Notice of Medicare Non-Coverage (NOMNC) Model Document Updates for Medicare Advantage Enrollees 01/01/2025 Prior Authorization Requirement Update 01/01/2025 Reminder - Prior Authorization Request and Appeals Process for Part B (Medical...