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...

...must say “yes” if you tell us you would be in danger if we do not. Ask us to limit what we use or share You can ask us not...

...over-the-counter (OTC) medications. They use a preferred drug list (PDL) which is a list of drugs they prefer your provider prescribe. Please call Gainwell Member Services at 1-833-491-0344 (TTY: 1-833-655-2437)...

...you can streamline your health care day-to-day planning. Picture only having one point-of-contact and one plan, so you can cut down on paperwork and phone calls. Choose HAP CareSource MI...

...here to create an account through the state’s login system, ohid.ohio.gov. Providers needing technical assistance can contact Ohio Medicaid’s Integrated Help Desk (IHD) at 1-800-686-1516. The IHD is open Monday...

...you don’t use this year and use them to reduce out-of-pocket expenses in future years — even in retirement. Convenience. The bank that holds your account will provide you with...

...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...

...or out-of-network services toward your deductible and out-of-pocket limit If you believe you’ve been wrongly billed, contact CareSource Member Services at the toll-free telephone number on the back of your...

...you can streamline your health care day-to-day planning. Picture only having one point-of-contact and one plan, so you can cut down on paperwork and phone calls. Choose HAP CareSource MI...

...assigned Care Coordinator who will be their point of contact for all care coordination needs. Members should expect outreach from a member of the care coordination team within the first...