CareSource covers all medically necessary Medicaid-covered drugs at many pharmacies. CareSource also covers many commonly used over-the-counter (OTC) medications with a written prescription from your doctor. CareSource uses Preferred Drug...

...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...

...easy access to formulary information. You can also determine drug coverage status on the MMIT Formulary, another application that can be downloaded onto your mobile device. Discover if a medication...

...consolidated the information below. Member Billing Covered Services Providers may not bill members for any covered services, with the exception of copayments. Non-Covered Services A provider may, upon accepting a...

...Section 9 your Evidence of Coverage for timeframes for CareSource’s review of appeals and expedited appeals. Internal Appeal of Adverse Benefit Determination A decision we make about your coverage or...

...vision coverage. Telehealth Through Teladoc®, you have access to $0 medical and behavioral health telehealth visits*. Other telehealth visits have the same cost share as your Primary Care Physician and...

...renew your Medicaid coverage soon. Without Medicaid coverage, you will no longer be eligible for CareSource MyCare Ohio. If you need to renew, you will get a letter or packet...

...paid for medical expenses that should have been covered under your CareSource Medicare Advantage benefits. Prescription Reimbursement Claim Form (Updated 11/05/2025) Use this form to request to be reimbursed if...