...Low Premium Silver 1 Medicaid Transition Plan Low Premium Silver 1 Medicaid Transition Plan + Adult Vision & Fitness Diabetes Silver 4600 $0 Chronic Care Drugs & Services Diabetes Silver...

...of eligibility Existing members – 12 months from the last redetermination date Have the Social Security number and/or DOB handy for the Head of Household Medicaid Member. Other DFCS info...

...Benefit Grids MyCare and Medicaid Outpatient Hospital Benefit Grid – Use this benefit grid to understand the hospital covered services for behavioral health services. MyCare and Medicaid CBHC (Community BH...

...copays and select services. BENEFIT HIGHLIGHTS BENEFIT HIGHLIGHTS All standard Medicare and Medicaid benefits All standard Medicaid benefits No Copays for Medicaid-covered drugs No Copays for Medicaid-covered drugs No Copays...

...New Health Partner Contract Form. Ohio Medicaid and CareSource MyCare Ohio providers should utilize the Provider Network Management (PNM) module from the Ohio Department of Medicaid for submitting provider applications,...

...service not covered by Medicaid, the provider may charge the member for the service as long as the member has been told prior to receiving the service that it was...

...taking. CareSource uses a preferred drug list. This list is also called a PDL. These are drugs that we like our providers to prescribe. It includes products on Indiana Medicaid’s...

...may also report fraud, waste or abuse directly to the state of Ohio: Ohio Department of Medicaid (ODM) – 1-614-466-0722 Medicaid Fraud Control Unit (Mfcu) – 1-800-282-0515 The Ohio Auditor...

...• Phone: 888-273-2121 • Fax: 855-313-3106 Behavioral Health Prior Authorizations 2022 Behavioral Health Medicaid Benefits Continuum Resource 2022 HCBS Medicaid Benefits Continuum Resource Fee Schedules HCBS 1915 (c) HCBS 1915...

These administrative policies apply to the Georgia Medicaid plans. These administrative policies apply to the Ohio Medicaid plan. These administrative policies apply to the Indiana Medicaid plans. These administrative policies...