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Plan Documents
https://www.caresource.com/plans/dsnp/plan-documents/...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...
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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/Administrative Law Hearing Not happy with an internal appeal decision? You may ask for an Administrative Law Hearing. This is the next formal step. It involves you or your representative,...
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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/...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...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/...encouraged to use self-service channels to verify beneficiary eligibility. These reimbursement policies apply to our Ohio Medicaid plan. These reimbursement policies apply to our Ohio Marketplace plans. These reimbursement policies...
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Welcome
https://www.caresource.com/providers/welcome/Welcome to CareSource PASSE Our mission is: Putting Members First, Pursuing Better Health Care. Together we can make a lasting difference in the lives of those we serve by improving...
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Contact Us
https://www.caresource.com/about-us/contact-us/...937.224.3300 Columbus, Ohio 614.221.3370 Atlanta, Georgia 678.214.7500 Indianapolis, Indiana 317.982.6400 Frankfort, Kentucky 502.213.4700 Cleveland, Ohio 216.839.1001 Charleston, West Virginia 681.319.9500 TTY user should call 711 Hours of Operation and Holidays...
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Open Enrollment Deadlines
https://www.caresource.com/plans/marketplace/open-enrollment-deadlines/...also renew at Healthcare.gov. We are here to help you, every step of the way! Remember, all CareSource Marketplace plans offer great benefits. Step-by-Step Renewal Process: Access our enrollment portal...
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Advance Directive
https://www.caresource.com/members/education/planning-ahead/advance-directive/...a list of web site links to your state’s facts. For more info, click on your state’s link or call the state number listed below: Ohio Call 1-800-282-6556 Georgia Georgia...
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Subrogation and Records Request Information
https://www.caresource.com/about-us/legal/subrogation-and-records-request-information/...40031 P: 855.967.6617 CareSourceManualReferrals@rawlingscompany.com Ohio Medicaid Ohio Medicaid subrogation matters are handled by Health Management Systems. Please send all subrogation and lien requests to: Health Management Systems – Ohio Tort...
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Plan Documents
https://www.caresource.com/plans/plan-documents/...pay when you receive covered services. Access the EOC below that corresponds to your plan: OHIO Find Your County Below Plans Available Ashland, Carroll, Cuyahoga, Geauga, Hancock, Holmes, Lawrence, Licking,...
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