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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/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...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/...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...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...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...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...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....
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Gold Plans
https://www.caresource.com/plans/marketplace/plan-documents/gold-plans/...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...
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Pharmacy
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/...if you have any questions about your prescriptions. You can also learn more on the Gainwell pharmacy website. Find a Pharmacy Find pharmacies at spbm.medicaid.ohio.gov. You can also call Gainwell...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...have to contact CareSource for an OK before you get emergency services. If you have an emergency, call 911 or go to the nearest emergency room (ER) or other appropriate...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/...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...
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Specialized Recovery Services Program
https://www.caresource.com/specialized-recovery-services-program/...1-855-717-5676. A referral for the Specialized Recovery Services Program also can be submitted via: Local County Department of Job and Family Services (CDJFS) BHCP@medicaid.ohio.gov mailbox Community Behavioral Health Centers Medicaid...
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2026 MyCare Benefits
https://www.caresource.com/plans/mycare-snp/2026-mycare-benefits/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...
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