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...

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...

...who you believe would benefit from Disease Management Support and is not currently enrolled, please call 1-844-438-9498. Health Needs Assessment Georgia Medicaid and CareSource ask that all members complete the...

...to access Delta Dental’s capabilities specifically for routine dental services. CareSource® covers dental services for our MyCare Ohio (Medicare-Medicaid Plan) members. Our dental providers can access the following tools to...

...of our health plan and the Ohio Department of Medicaid (ODM) as outlined in this manual. Providing 30 days of emergency coverage to any CareSource patient dismissed from the practice....

...burns. Uncontrolled bleeding. Miscarriage/pregnancy with vaginal bleeding. Emergency care is covered both in and out of our service area, within the United States. You do not have to contact CareSource...

...Healthy Heart Gold Medicaid Transition Plan $0 Chronic Care Services Healthy Heart Gold Medicaid Transition Plan $0 Chronic Care Services + Adult Vision & Fitness Gold 2000 $15 Generic Drugs...

...questions about the reason for your call. A doctor will contact you, usually within 10 minutes. Note: Teladoc should not be used for trauma, chest pain, shortness of breath, or...

BRINGING YOU EVEN BETTER CARE Starting January 1, 2026, the Ohio Department of Medicaid will begin the new Next Generation MyCare Ohio program. This program is designed for Ohioans who...

...and we’ll contact your provider for you. Automatic Refill Service You can use an “automatic refill” service for qualifying mail order drugs. Express Scripts will need your permission before we...