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HIPAA Privacy Practices - Ohio Medicaid
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-ohio-medicaid/This notice describes how health information about you may be used and given out. It also tells how you can get this information. Please review it carefully. We will refer...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...Partnership for Cardiac and Musculoskeletal Surgical Procedures - UPDATE 01/26/2023 Ohio Next Generation Managed Care: New ODM Communication Available 01/24/2023 Postpartum Depression Screening Promotion 01/09/2023 Medicaid Advisory Letter (MAL) 666...
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Medicaid
https://www.caresource.com/plans/medicaid/...assigned to a health plan other than CareSource, you can switch within 90 days by calling the Ohio Medicaid Consumer Hotline at 1-800-324-8680. Ohio Medicaid’s managed care plans Ohio Medicaid’s...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...the Next Generation of Ohio Medicaid, please visit the following link to the Ohio Medicaid online application by July 31: https://portal.ohmits.com/Public/Providers/Enrollment/tabId/49/Default.aspx. Send questions to: Ohio Medicaid Next Generation Program: ODMNextGen@medicaid.ohio.gov...
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FAQs
https://www.caresource.com/members/education/faqs/...members enrolled in Medicaid and PeachCare for Kids® and women enrolled in Planning for Healthy Babies® (P4HB®). You can choose CareSource if you are eligible for Georgia Families® and P4HB®...
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Pharmacist Provider Status
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacist-provider-status/...pharmacists seeking a Medicaid contract with CareSource: you must first register with the Ohio Department of Medicaid (ODM) which will manage the credentialing process through the Provider Network Module: https://managedcare.medicaid.ohio.gov/managed-care/centralized-credentialing...
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OhioRISE
https://www.caresource.com/plans/medicaid/benefits-services/ohio-rise/...you are part of OhioRISE. All of your health records are in one place. OhioRISE System of Care OhioRISE focuses on community-based services, care coordination, keeping you in your home,...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...SEC. 2913.40 MEDICAID ELIGIBILITY FRAUD, OHIO REVISED CODE SEC. 2913.401 FALSIFICATION, OHIO REVISED CODE SEC. 2921.13 OFFENSES BY MEDICAID PROVIDERS, OHIO REVISED CODE SEC. 5164.35 CareSource Policy It is the...
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Steve Ringel, President, Ohio Market
https://www.caresource.com/about-us/executive-leadership/steve-ringel-president-ohio-market/...He is responsible for the growth and performance of the Ohio Medicaid, Health Insurance Marketplace, Medicare and MyCare Ohio products. Steve joined CareSource in 2011 as Vice President of Operations,...
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FAQs
https://www.caresource.com/providers/education/faqs/...delivery charge is received, CareSource will determine the Medicaid allowed amount and then subtract the primary insurance paid amount. CareSource will pay any remaining liability up to the Medicaid allowed...
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Ohio Medicaid