...Division of Medicaid (DOM) or Centers for Medicare and Medicaid Services (CMS). The plan’s non-discrimination policies and the individuals responsible for overseeing those policies, as well as responding to accessibility...

...policies apply to our Ohio Medicaid plan. These medical policies apply to our Georgia Medicaid plans. These medical policies apply to our Indiana Medicaid plans. These medical polices apply to...

...Authorization & Provider Portal Portal providers and/or their delegates should follow Ohio Department of Medicaid’s (ODM) guidelines to submit prior authorization requests and supporting documentation through the Ohio Medicaid PNM...

A grievance is a formal complaint about us, our providers or the care you get. You or an authorized representative may file a grievance at any time. Call Member Services...

...a complaint with the Indiana Office of Medicaid Policy and Planning (OMPP) about not following the member’s advance directive To be free to carry out your rights and know that...

To learn more about appeals and how to file an appeal for your plan, choose your plan from the drop down list above, then click GO. An appeal is how...

As a CareSource member, you get extra benefits. These are for Georgia Families®, Georgia Pathways to CoverageTM, or PeachCare for Kids®, unless stated. For a full list of benefits and...

mih Let us know if you are unhappy or do not agree with a decision made by us or our providers. We want to make it right. Please call Member...

...easier for you to do business with us. Note: To view this file, you may need to download Adobe Acrobat Reader. View the Georgia Medicaid Provider Manual Access the Provider...

...Medicaid (ODM) and the National Committee for Quality Assurance (NCQA).CareSource credentials providers using guidelines from the Ohio Department of Insurance (ODI) and the National Committee for Quality Assurance (NCQA).CareSource credentials...