Our Program Integrity Department handles cases of managed care fraud, waste or abuse. It can be done by providers, pharmacies, or members. Fraud means the purposeful misuse of or for...

...services. CareSource covers all medically necessary Medicaid-covered services. Georgia Pathways to Coverage members have no copay. You may need to pay for non-covered services. For more information, refer to your...

...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,...

...door. Medicare Prescription Payment Plan: Pay out-of-pocket prescription costs in monthly payments over the plan year instead of all at once at the pharmacy. List of Covered Drugs (Formulary) If...

...for covered services provided to you for which DCH or CareSource does not pay the provider that gives the services. To not be held liable for payments of covered services...

...this means: Covering services without any limits or need of a prior authorization. This includes services done by out-of-network providers. Using a special claims payment process to make sure providers...

...of a payment transformation reimbursement model for 90% of primary care providers, transitioning from volume-based to value-based payments. This initiative aimed to incentivize superior care quality, enhance accessibility and empower...

...(4769) or visit signupwic.com. WIC helps pay for groceries for you and your family. You can get: Dairy like milk, yogurt and cheese; Whole grains like pasta, oatmeal and bread;...

Have more questions? Contact Member Services. We are here to help....

...CareSource Dual Advantage™ (HMO D-SNP) Routine Hearing Test $0 copay, one every year Exam to diagnose and treat hearing and balance issues $0 copay (Cost-sharing for Medicare-covered benefits is based...