Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...

...OHIO (HMO D-SNP) CareSource® MyCare Ohio (HMO D-SNP) CareSource® MyCare Ohio (HMO D-SNP) is for individuals who qualify for Medicare Parts A & B and full Medicaid benefits. It offers...

BRINGING YOU EVEN BETTER CARE Starting January 1, 2026, the Ohio Department of Medicaid will begin the new Next Generation MyCare Ohio program. This program is designed for Ohioans who...

...delivered directly to you at no extra cost for many prescriptions. Dental Dental $4,000 annual allowance for preventative services such as oral exams and cleanings as well as services like...

...well-child exams Mammograms and cervical cancer exams for women Prostate cancer exams for men Preventive dental exams and cleanings Routine exams Early and Periodic Screening, Diagnostic and Treatment (EPSDT). This...

...Program design is to ensure the organization delivers on all aspects of care delivery for CareSource MyCare Ohio members based on their unique needs. We monitor, analyze and identify opportunities...

...other industry ICD-10 websites. New CMS-1500 Claim Form Ohio Department of Medicaid (ODM) Tips & Alerts Claims Compliance Date Span Date Billing ICD-10 and Dental Claims Billing Unspecified Codes Inpatient...

...Handbook. Call Member Services if you would like a printed copy sent to you. MyCare Ohio (MEDICARE + MEDICAID) MyCare Ohio (Medicaid Only) Our CareSource® MyCare Ohio (HMO DSNP) provides...

...WILL CARESOURCE BE LIABLE UNDER ANY THEORY OF TORT, CONTRACT, STRICT LIABILITY, OR OTHER LEGAL OR EQUITABLE THEORY FOR ANY LOST DATA, EXEMPLARY, PUNITIVE, PERSONAL INJURY/WRONGFUL DEATH, SPECIAL, INCIDENTAL, INDIRECT...

The following chart is a summary of what you get when you have: MyCare Ohio (MEDICARE + MEDICAID) MyCare Ohio (Medicaid Only) This is your chance to make your health...