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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...help protect your privacy. You 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)...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/CareSource PASSE™ follows Arkansas Medicaid’s evidence-based Prescription Drug Program, Preferred Drug List (PDL) and Prior Authorization Criteria. Search Tips: To access the downloadable Preferred Drug List and Prior Authorization Criteria...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/...your dental practice. View Indiana Medicaid Provider Updates & Announcements Dental Home Program CareSource offers the Dental Home Program for Indiana HHW and HIP Plus and HIP State Plan Medicaid...
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Request Patient Services
https://www.caresource.com/providers/tools-resources/request-patient-services/...them a ride. These health care trips can be for: Provider visits Medicaid renewal appointments with Job and Family Services Pharmacies to pick up prescriptions When possible, we ask that...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...Care and Prior Authorization Requirements for Medicaid Covered Nursing Facility (NF) Stays – UPDATE 05/05/2025 May 2025 Policy Updates 05/01/2025 Level of Care and Prior Authorization Requirements for Medicaid Covered...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...The Ohio Department of Medicaid (ODM) has implemented the OMES to enhance the efficiency of the Next Generation MCOP. The full implementation of the OMES modules is underway, aimed at...
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Better Together
https://www.caresource.com/plans/mycare-snp/better-together/...Medicaid benefits. Starting April 1, 2026 and continuing throughout the year, the program will become available statewide. The goal is to improve health and wellness outcomes by focusing on individual...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...Medicaid plan. You will find key information that will make it easier for you to do business with us and assist you in serving our members. Quick Reference Guides Below...
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COVID-19 Information and Resources
https://www.caresource.com/members/tools-resources/covid19/...federal and state guidance. We will keep you informed of any changes that could affect your health care coverage. Attention Medicaid Members: Keep Your Health Coverage Due to COVID-19, the...
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Plan Documents
https://www.caresource.com/plans/mycare-snp/plan-documents/...hospitals, and more that are in the CareSource network. Or search all providers in the Ohio Department of Medicaid’s Provider Directory. MyCare Medicare and Medicaid Provider Directory Vol 1 of...
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