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....

...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...

...and out of our service area, within the United States. You do not have to contact CareSource for an OK before you get emergency services. If you have an emergency,...

...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...

...A doctor will contact you, usually within 10 minutes. Note: Teladoc should not be used for trauma, chest pain, shortness of breath, or the prescribing of DEA (Drug Enforcement Agency)...

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...