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Contact Us
https://www.caresource.com/members/contact-us/...Manager (SPBM) for all Ohio Medicaid members. Find pharmacies at spbm.medicaid.ohio.gov. Learn more about your pharmacy benefits in the Gainwell member handbook. Ohio CareLine 1-800-720-9616 (TTY: 711) If you or...
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Drug Formulary Changes
https://www.caresource.com/providers/tools-resources/drug-formulary/drug-formulary-changes/...Medicaid (ODM) Pharmacy team and the Single Pharmacy Benefit Manager (SPBM) Gainwell Technologies. Please visit the ODM Pharmacy website for News, Drug Coverage, and Unified PDL information. Please visit Gainwell’s...
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Drug Transition Policy
https://www.caresource.com/plans/dsnp/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 Dual Advantage or CareSource Dual Advantage Plus...
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Transportation
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/transportation/...in HIP or HHW Package A for: Unlimited rides to the pharmacy after your visit with the doctor. Five trips to the pharmacy each month without it being a stop...
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Plan Documents
https://www.caresource.com/plans/mich/plan-documents/...is seeing new patients and more. The Find a Pharmacy tool has the most updated list of pharmacies. Provider/Pharmacy Directory (10/14/2025) Last updated on 10/14/2025 Provider/Pharmacy Directory (json) Prior Authorization...
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Caregiver Resources
https://www.caresource.com/members/tools-resources/caregiver-resources/...a Pharmacy Find a Doctor National Alliance for Caregiving AARP Caregiving Resource Center Family Caregiver Alliance Today’s Caregiver Leading Age Caregiving Resources Alzheimer’s Association Member Services: 1-833-230-2050 (TDD/TTY: 711), Monday...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...and select “View Details” to locate the appeals option. At this time, dental, radiology and pharmacy appeals cannot be accepted using the portal. Please submit via fax or mail. In...
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Update Practice Information
https://www.caresource.com/providers/provider-portal/update-practice-information/...2 NPI Tax ID Please be sure your office address, phone, fax, etc. are up to date in the National Plan & Provider Enumeration System or NPPES. Pharmacy benefit managers...
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Drug Transition Policy
https://www.caresource.com/plans/mich/benefits-services/pharmacy/drug-transition-policy/...fills to provide up to a maximum of a 30-day supply of medication. The prescription must be filled at a network pharmacy. For those members who are new or who...
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Plan Documents
https://www.caresource.com/plans/mycare-snp/plan-documents/...Medicaid-Only Provider Directory (10/15/2025) Last updated on 10/15/2025 Download the Machine Readable Provider Directory here (json) Pharmacy Directory The most up-to-date list of network pharmacies is available through our Find...
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Pharmacy