...locations where they practice. Covered services are based on the terms and conditions described in your Certificate of Coverage. This includes medical necessity. Please call us at 1-877-514-2442 (TTY: 711)...

...nation’s largest Medicaid managed care plans. CareSource, headquartered in Dayton, Ohio, has built a legacy of providing quality health care coverage for Medicaid consumers. In addition to Medicaid coverage CareSource...

...and are developing physically and mentally. They include: Medical exams Vision exams Dental exams Hearing exams Nutrition checks Developmental exams Lead testing Lab tests Immunizations Health education Medically necessary follow-up...

...Act MED Reference 12/01/2019 Provider Summary of Support Act 50 MED Limit 12/01/2019 Provider Summary of PDL Changes Effective January 1, 2020 12/01/2019 Provider Summary of PDL Changes Effective October...

...authorization required for inpatient only. Opioid treatment Opioid treatment, including Medication Assisted Treatment (MAT); specialized medications and therapy for maintenance and detoxification; no prior authorization required. Psychiatry Advanced therapy and...

...should refer to billing guidance from Centers for Medicare & Medicaid Services (CMS) prior to claims submissions. The reimbursement methodology does not follow your current Medicaid contract as these are...

...and family health insurance coverage for those who do not have employer insurance and do not qualify for other programs like Medicare or Medicaid. Learn More CareSource® MyCare Ohio (HMO...

...and services Learn about the extra benefits CareSource provides, such as: Rewards for Babies First Life Services Convenience care and services Special Circumstances Do you regularly take prescription medications? If...

...care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. HAP CareSource HAP...

...follow it. Mail to: PeachCare for Kids® Independent Medical Review Request Georgia Department of Community Health Division of Medical Assistance 2 Martin Luther King Jr. Drive, SE 19th Floor, East...