...care service. Plan – This is the health coverage you get through CareSource The HHW program covers children up to age 19 and some pregnant women. There is little or...

...of multiple claims that involve the same or similar payment or coverage issues, regardless of the number of individual members or payment claims included in the bundled complaint or appeal....

...providers using guidelines from the Indiana Office of Medicaid Policy and Planning (OMPP) and the National Committee for Quality Assurance (NCQA).CareSource credentials providers using guidelines from the Indiana Health Coverage...

...guide the provision of clinical care to beneficiaries. CPGs do not create new benefits or coverage rules and shall not supersede or replace the requirements of the TRICARE Policy Manual,...

...your Evidence of Coverage (EOC) for more information about how drugs are included or not included on your Formulary. We want to make sure our members get the safest, most...

...coverage information. You can still get your non-specialty medications through your local pharmacy. Do you have general questions about specialty pharmacy? Call Member Services. Your CareSource plan includes pharmacy benefits....

...in your Evidence of Coverage. You can also visit the National Hospice and Palliative Care Organization’s website CaringInfo.org or call 1-800-282-6556. Guardianship A guardian is someone chosen by a court...

...receive BOTH Medicare and Medicaid benefits. Our CareSource® MyCare Ohio (HMO D-SNP) plan combines your Medicare and Medicaid into one simple plan, giving you coverage that fits your needs and...

...Learn More Renew Your Benefits Renew Your Benefits Don’t lose your Medicaid coverage. Learn how to keep your plan coverage. Learn More Find A Doctor Find A Doctor Need a...

...and alternatives, regardless of cost or benefit coverage, in a way that you can understand. Know and discuss medically needed treatment options for your condition(s). No matter the cost or...