...and medically necessary. Working with the doctors, we decide the member is at risk for misusing or abusing opioid or benzodiazepine medications, and limit how they can get those medications....

...show that more than 70% of people who misuse prescription drugs get them from friends or family. Over 30,000 overdose deaths each year are due to prescription drugs. There are...

...the permission of MCG. MCG has provided a tool that allows CareSource members and prospective members to view relevant MCG guidelines, however you will not be able to print them....

CareSource wants to equip you to work with our health plan to provide the best service for our members. The following materials will help familiarize you with the CareSource Ohio...

...Care Support Care Management Care Management helps you learn about your health and how to better work with your health issues. Learn more. CareSource Life Services® We offer support for...

...account by visiting ActiveandFit.com and click the Check Eligibility button in the upper right corner of the page. For more detailed information on how to enroll, you can download this...

...Efficiency (Getting the concern addressed quickly) Appropriateness of health care services Treatment that our members get Call us if you have questions about how we review your care. Call Member...

...us so we can try to resolve them with you. However, you do have the right to change to another P4HB® managed care plan in these cases: During the first...

...Find a Doctor tool. This tool will show you: Primary care providers (PCPs) Primary dental providers (PDPs)/Dental Home Specialists Hospitals Download the machine-readable Provider Directory here (json) Member Materials Behavioral...

...D benefit under your plan. When and How Do I Make Payments? You will receive a monthly invoice showing the amount you owe, when it’s due and how to make...