...pays an office copay. The ENT suggests a sinus surgery for her. Before the surgery, the ENT office must get prior approval from HAP CareSource to make sure the service...

...medications are managed under the Medical Benefit at CareSource. For medications payable through Gainwell Technologies, the Single Pharmacy Benefit Manager, please visit https://spbm.medicaid.ohio.gov/ or https://pharmacy.medicaid.ohio.gov/unified-pdl. # A B C D...

...(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;...

...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...

...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...

...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...

...year with a $0 copay. You get a $4,000 annual allowance for preventive services like oral exams and cleanings plus services like fillings, root canals, dentures and dental implants. Plus,...

...to be in the CareSource nework. Make sure the health care providers you plan to use are in the CareSource network. In most cases, CareSource does not pay for charges...

The frequently asked questions below are intended to help First Tier, Downstream and Related Entities (FDR) understand and manage their compliance efforts. Please click on the expandable menus below to...

...readiness and retention of military families. Delivering Operational Excellence for Providers We consistently outperform industry benchmarks in key operational areas, ensuring fast, accurate claims payments and unparalleled service. Explore Military...