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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/Before providing care or prescribing medicine for your patients, please review the CareSource® MyCare Ohio (HMO D-SNP) Medicare Part D formulary and Medicaid List of Covered Drugs. Formulary Use the...
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Renew Your Benefits
https://www.caresource.com/members/tools-resources/renew-benefits/...Call at least two business days before you need a ride. Resources: Resources Link FSSA Benefits Portal FSSABenefits.IN.gov Video: Creating an FSSA Portal Account https://www.in.gov/medicaid/members/files/Benefits-Portal-Flyer.pdf https://www.in.gov/medicaid/members/files/Benefits-Portal-Flyer_SPA.pdf https://www.in.gov/medicaid/members/files/Benefits-Portal-Flyer_BUR.pdf Video: FSSA Benefits...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Behavioral Health Medicaid Benefits Continuum Resource 2022 HCBS Medicaid Benefits Continuum Resource Fee Schedules HCBS 1915 (c) HCBS 1915 (i) CareSource® evaluates prior authorization requests based on medical necessity, medical...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...Program design is to ensure the organization delivers on all aspects of care delivery for CareSource MyCare Ohio members based on their unique needs. We monitor, analyze and identify opportunities...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...Ohio Medicaid and MyCare Providers: Ohio Medicaid and MyCare providers should utilize the Provider Network Management (PNM) module from the Ohio Department of Medicaid (ODM) for submitting provider applications, credentialing...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/...2018 MA Enrollment Form 508 2018 Medicare Medicaid Member Handbook with ANOC 508 2018 medicare medicaid member handbook with anoc 508 sp 2018 MyCare Summary of Benefits 508 2018 MyCare...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...that may apply. Also refer to our Updates & Announcements page for notifications of changes that may impact your appeal. Contact Us For any questions regarding CareSource’s processes, please contact...
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Update Practice Information
https://www.caresource.com/providers/provider-portal/update-practice-information/...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,...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...and out-of-pocket limit. If you think you’ve been wrongly billed, contact the Centers for Medicaid & Medicare Services (CMS). The federal phone number for information and complaints is: 1-800-985-3059. Visit...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...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...
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