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Centralized Credentialing & Single Pharmacy Benefit Manager
https://www.caresource.com/providers/tools-resources/centralized-credentialing-single-pharmacy-benefit-manager/...here to create an account through the state’s login system, ohid.ohio.gov. Providers needing technical assistance can contact Ohio Medicaid’s Integrated Help Desk (IHD) at 1-800-686-1516. The IHD is open Monday...
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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...referenced above: Log on to CAQH using your account information. Select the Authorization tab. Make sure CareSource Medicaid Ohio isCareSource Marketplace Ohio isCareSource Advantage Zero Premium and CareSource Advantage Ohio...
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Plans & Services
https://www.caresource.com/producers/plans-services/...MYCARE 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...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/CareSource MyCare Ohio allows individuals to select Medicaid only coverage from the plan managing their CareSource MyCare Ohio benefits. Individuals may choose to have CareSource MyCare Ohio either: Provide their...
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Renew Your Benefits
https://www.caresource.com/members/tools-resources/renew-benefits/...time. Respond to any mail you get from CDJFS as soon as you can. Renew in one of these ways: ONLINE: Go to benefits.ohio.gov if you have an online account....
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/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...
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Next Generation MyCare
https://www.caresource.com/plans/mycare-snp/You + CareSource. Better Together. Managing your Medicare and Medicaid benefits can be overwhelming, but with our new CareSource® MyCare Ohio (HMO D-SNP) plan, you can not only simplify your...
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2026 MyCare Benefits
https://www.caresource.com/plans/mycare-snp/2026-mycare-benefits/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...
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Plans
https://www.caresource.com/plans/...Ohio MEDICAID OhioRISE MARKETPLACE MA - Dual Special Needs MYCARE OHIO Next Generation MyCare West Virginia West Virginia MARKETPLACE Wisconsin Wisconsin Marketplace MEDICAID We offer plans with no co-pays, vision...
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Specialized Recovery Services Program
https://www.caresource.com/specialized-recovery-services-program/...the community for individuals diagnosed with a severe and persistent mental illness (SPMI) or with a diagnosed chronic condition (DCC). The Ohio Department of Medicaid (ODM) has contracted with CareSource...
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Ohio