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Plans & Services
https://www.caresource.com/producers/plans-services/...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...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...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...
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Marketplace
https://www.caresource.com/plans/marketplace/...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...
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Training & Events
https://www.caresource.com/providers/education/training-events/Earn rewards for keeping your patients healthy! Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...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...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...within 30 calendar days of the date of the internal appeal notification. Providers must complete the “Ohio Medicaid MCE External Review Request” form located at www.hmspermedion.com (select Contract Information and...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...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...
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FAQs
https://www.caresource.com/providers/education/faqs/CareSource PASSE™ may update this page with information about how to work with our plan. Have a question not addressed on this page? Contact Provider Services at 1-833-230-2100. You can...
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/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...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...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...
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