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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...Fraud (Ohio Revised Code Section 2913.40) Medicaid Eligibility Fraud (Ohio Revised Code Section 2913.401) Falsification (Ohio Revised Code Section 2921.13) Offenses by Medicaid Providers (Ohio Revised Code Section 5164.35) Kentucky...
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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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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/CareSource MyCare Ohio allows individuals to select Medicaid only coverage from the plan managing their CareSource MyCare Ohio benefits. Individuals may choose to have CareSource MyCare Ohio either: Provide their...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...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...
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COVID-19 Information and Resources
https://www.caresource.com/members/tools-resources/covid19/...not ask for any money to keep your Medicaid benefits. Please report suspicious activity to: Ohio: Call the Ohio Attorney General at 1-800-282-0515 (TTY: 711) or visit www.ohioprotects.org. Indiana: Call...
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Better Together
https://www.caresource.com/plans/mycare-snp/better-together/Important News About CareSource Coverage The Next Generation MyCare Ohio program started January 1, 2026. MyCare Ohio is a managed care program designed for Ohioans who receive BOTH Medicare and...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...welcome to contact us. An authorized representative is someone you choose who can act and speak on your behalf. In order for CareSource to talk to your authorized representative regarding...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...Ohio Administrative Code – Chapter 5160-26 – View managed care plan requirements from the Ohio Administrative Code. Ohio Revised Code – Chapter 5167 – View Medicaid managed care requirements from...
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Welcome
https://www.caresource.com/providers/welcome/...their health and well-being. The CareSource PASSE difference Non-profit organization committed to putting people over profits Exclusively focused on government programs with deep Medicaid, Marketplace, and dual-eligible experience Operational excellence...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/At CareSource, we streamline our business practices to limit the administrative burden on you and our members. Our goal is to make it easier for you to help our members...
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