...OHIO (HMO D-SNP) CareSource® MyCare Ohio (HMO D-SNP) CareSource® MyCare Ohio (HMO D-SNP) is for individuals who qualify for Medicare Parts A & B and full Medicaid benefits. It offers...

...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...

Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...

...options. Ensuring we have your back every step of the way. We Got You! Like our other plans, if you qualify for Advance Premium Tax Credits (APTC), they can help...

...Program design is to ensure the organization delivers on all aspects of care delivery for CareSource MyCare Ohio members based on their unique needs. We monitor, analyze and identify opportunities...

...care from community partners. Roles and Responsibilities According to the Ohio Administrative Code (OAC) 5610-26-03.1(B), PCP care coordination responsibilities include at a minimum, the following: Assisting with coordination of the...

These administrative policies apply to the Georgia Medicaid plans. These administrative policies apply to the Ohio Medicaid plan. These administrative policies apply to the Indiana Medicaid plans. These administrative policies...

...Step Therapy Sometimes, CareSource requires that you try a less expensive drug used for the same condition before “stepping up” to a medication that costs more. This is called step...

...the updates. 2025 Notice of Formulary Changes coming soon. 2025 Notice of Formulary Changes (Last updated on 11/01/2025) Ohio CareSource Dual Advantage™ (HMO D-SNP) covers diabetic testing supplies for our...

...be dispensed to you at one time. Some medicines may require you try another medicine first before CareSource will cover it. This is called Step Therapy. Some medicines require permission...