...Ohio: Ohio Department of Medicaid (ODM) – 1-614-466-0722 Medicaid Fraud Control Unit (Mfcu) – 1-800-282-0515 The Ohio Auditor Of State (AOS) – 1-866-Fraud-OH or by email at fraudohio@ohioauditor.gov Employee Ethics...

...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...

...expensive drug used to treat the same condition before “stepping up” to a medication that costs more. This is called step therapy. Certain drugs may only be covered if step...

Steve Ringel is responsible for leading CareSource’s Ohio market, providing strategic direction to our Ohio teams to assure exemplary member health outcomes, consumer advocacy, governmental relations and health partner collaborations....

...denial or a medical necessity/utilization management decision. Fraud, Waste and Abuse Form Fraud, Waste and Abuse Reporting Form Submit this form to report suspected fraud, waste or abuse. Below, you’ll...

...Ohio Medicaid and MyCare Providers: Ohio Medicaid and MyCare providers should utilize the Provider Network Management (PNM) module from the Ohio Department of Medicaid (ODM) for submitting provider applications, credentialing...

...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...

...call the Ohio Medicaid Consumer Hotline at 1-800-324-8680 (TTY: 1-800-292-3572), or visit www.ohiomh.com and select MyCare Ohio. Plan Benefits You may choose CareSource MyCare Ohio: for BOTH Medicare and Medicaid....

...SEC. 2913.40 MEDICAID ELIGIBILITY FRAUD, OHIO REVISED CODE SEC. 2913.401 FALSIFICATION, OHIO REVISED CODE SEC. 2921.13 OFFENSES BY MEDICAID PROVIDERS, OHIO REVISED CODE SEC. 5164.35 CareSource Policy It is the...

...Learn about nutrition and wellness Help you find an appropriate provider Report Fraud, Waste & Abuse CareSource has a program for handling cases of health care fraud, waste and abuse....