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...

...Fraud) Written Report: Use the Fraud, Waste and Abuse Reporting Form on www.caresource.com or write a letter and send to: CareSource Attn: Special Investigations Unit P.O. Box 1940 Dayton, OH...

...the right to: File a complaint (also called a grievance) File an appeal Ask for an external review Authorized Representative In order for CareSource to talk to your authorized representative,...

...in the first 90 days of your membership and your medication is not on our covered drug list (formulary) or coverage is limited in some way, such as prior authorization,...

...books, bingo or poker, or any other form of solicitation. Release: You acknowledge and agree that you are solely responsible for your User Content and any related content uploads, posts,...

...one in writing. Complete the Grievance Form and send it to: CareSource P.O. Box 1947 Dayton, OH 45401-1947. Is your complaint about quality of care? You can make your complaint...

...social security number). If you wish to communicate such information, please use one of our secure websites, web forms, or phone numbers/mailing addresses provided. If you choose not to provide...

...“spam,” “chain letters,” “pyramid schemes,” or promote illegal activity and/or illegal contests, sweepstakes, gambling, including any online casino, sports books, bingo or poker, or any other form of solicitation. Release:...

...complaint be mailed to you. File an online complaint by filling out a complaint form. Request a complaint form and instructions for filing a written consumer complaint by contacting Ohio...

...Routine care like screenings and exams. You get this care to help stop a health problem from occurring. Prior Authorization Approval that may be needed before you get a service....