Important News About Your CareSource Coverage Starting January 1, 2026, Ohio will begin the new Next Generation MyCare Ohio program. MyCare Ohio is a managed care program designed for Ohioans...

...CareSource® MyCare Ohio (Medicare-Medicaid Plan). You will find key information that will make it easier to do business with us and assist you in serving our members. MyCare Ohio Resources...

...find a copy of the PDL on the Ohio Department of Medicaid website or on the Gainwell pharmacy website. Please call Gainwell Member Services at 1-833-491-0344 (TTY: 1-833-655-2437) if you...

...to submit a request for any additional services for review of medical necessity outside these dates of service prior to transition. Yes, CareSource will need to be contacted via phone...

The following chart is a summary of what you get when you have: MyCare Ohio (MEDICARE + MEDICAID) MyCare Ohio (Medicaid Only) This is your chance to make your health...

...with something about our health plan, let us know. You or your authorized representative can contact us. Grievance cases are: Quality of health care services, like safety issues Access and...

...carry out your rights and know that CareSource MyCare Ohio, CareSource MyCare Ohio’s providers or the Ohio Department of Medicaid (ODM) will not hold this against you. To know that...

...carry out your rights and know that CareSource MyCare Ohio, CareSource MyCare Ohio’s providers or the Ohio Department of Medicaid (ODM) will not hold this against you. To know that...

...here to create an account through the state’s login system, ohid.ohio.gov. Providers needing technical assistance can contact Ohio Medicaid’s Integrated Help Desk (IHD) at 1-800-686-1516. The IHD is open Monday...

We have compiled all of the essential forms in one place for you to utilize. Select the applicable form(s) for reporting, credentialing, claims, and more. Note: You may need to...