...and the treating provider may not proceed with that service or supply after receiving a denial from CareSource for the requested non-covered service. Existing clinical policies are regularly reviewed and...

...a link between your office and CareSource. It provides important information on topics such as covered services, services that require prior authorization, claim submission, and more. View the Dental Provider...

CareSource wants to equip you to work with our health plan to provide the best service for our members. The following materials will help familiarize you with the CareSource Ohio...

...– Utilization and education Benefits Behavioral Health Covered Benefits and Services – Behavioral health covered services per market and product Provider Clinical Tools and Resources Controlled Substance Report – CareSource...

...Member Services: 1-844-607-2829 (TTY: 1-844-743-3333 or 711), Monday through Friday, 7 a.m. CT/8 a.m. ET to 7 p.m. CT/8 p.m. ET. Your 24/7/365 On-Demand Telehealth Services Provider Teladoc® is a...

...or find out how to order medication through our Mail Order service. Set Up your CareSource MyLife Personal Online Account. Visit MyLife.CareSource.com and click Create Account to get started. Follow...

CareSource® offers care coordination that can provide a broad spectrum of educational and follow-up services for your patients. You can access care plans online through the provider portal to easily...

...standardized rules. The review will include evaluation of services for being experimental and/or investigative, as well as clinical appropriateness based upon patient demographic information. Providers may also request copies of...

...Services if you need help. Member Services can help answer questions about your EOB or claims. Call Member Services or Care Management if you need help. Member Services can help...

...Pharmacy Policy Updates December 2025 12/01/2025 Transition to EyeMed for Routine Vision Services 11/10/2025 Important Reminder: Coordination of Benefits 11/03/2025 Ohio Medicaid Open Enrollment 11/03/2025 Avalon Q2 2025 Quarterly Policy...