...and the National Committee for Quality Assurance (NCQA). Our Vice President/Senior Medical Director is responsible for the credentialing and recredentialing program. The Ohio Department of Insurance allows the Council for...

...Every simple and affordable CareSource Marketplace plan offers coverage for pre-existing conditions and no annual or lifetime dollar limits for essential health benefits. Now, you can get these additional diabetes...

...leadership Application Guidelines Applicants Must: Be a graduate or candidate for graduation from an Accreditation Council for Pharmacy Education (ACPE) accredited degree program Be licensed or eligible for state pharmacist...

...2026 ID Card(s)? For renewal plans, we will mail your 2026 ID card(s) mid-December. They will be for the health plan on file for you as of December 1. For...

...the pharmacy. Your ID card will let pharmacies know that CareSource pays for your medicines. The CareSource Marketplace Drug Formulary shows the drugs covered by your plan. Here are some...

...for pre-existing conditions and no annual or lifetime dollar limits for essential health benefits. Now, you can get these additional high deductible health plan preventive benefits too! OTHER PLAN HIGHLIGHTS...

...The service must be medically necessary for your care. Your provider will take care of this for you. Psychiatric Diagnostic Evaluation A mental health provider looks at you and your...

...Analysis for Autism Spectrum Disorder C Colorectal Cancer Screening F Facility Charges for Hospital-Based Outpatient Clinics I Interest Payments M Modifier 25 Modifier 59, XE, XP, XS, XU O Overpayment...

...management for conditions such as: Asthma Diabetes High blood pressure Care after being in a hospital for a behavioral health condition Care for children given ADHD medicines We also look...

...through programs, agencies or contracts. The False Claims Act applies when a company or person: Knowingly presents a false or fraudulent claim for payment, Knowingly uses a false record or...