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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...policies are added as appropriate, while previous versions are maintained in the policy archive. These policy changes are maintained on this site. These medical policies apply to the MyCare Ohio...
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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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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Services That Require Prior Authorization Please refer to the Procedure Code Lookup Tool to check whether...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/...to access Delta Dental’s capabilities specifically for routine dental services. CareSource® covers dental services for our MyCare Ohio (Medicare-Medicaid Plan) members. Our dental providers can access the following tools to...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/To learn more about appeals and how to file an appeal for your plan, choose your plan from the drop down list above, then click GO. An appeal is how...
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Additional Services
https://www.caresource.com/benefits-services/additional-services/The following chart is a summary of what you get when you have: MyCare Ohio (MEDICARE + MEDICAID) MyCare Ohio (Medicaid Only) This is your chance to make your health...
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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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Drug Transition Policy
https://www.caresource.com/plans/mycare-snp/benefits-services/pharmacy/drug-transition-policy/...can be up to a 30-day supply at a network pharmacy if one of the following is true: You are new to CareSource® MyCare Ohio (HMO D-SNP) in the first...
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How To Get Help With Drug Costs
https://www.caresource.com/plans/mycare-snp/benefits-services/pharmacy/drug-cost-help/...office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778 (applications); or Ohio Department of Medicaid (applications): https://medicaid.ohio.gov/families-and-individuals/coverage/01-how-to-apply Best Available Evidence If you...
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Tobacco-Free Youth
https://www.caresource.com/members/education/smoking-cessation/tobacco-free-youth/Is your child ready to quit using tobacco and earn up to $200? HELP YOUR CHILD NOW Teenagers who use tobacco don’t always look like pack-a-day cigarette smokers. Many of...
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