Quick References COVID-19 information Pharmacy information, including our Preferred Drug Lists (PDLs) Medical, pharmacy, reimbursement and administrative policies We Strive to make partnering with us simple. We’re aware things may...

...of the Ohio Department of Medicaid’s (ODM’s) Next Generation Managed Care. Overview ODM’s changes to Medicaid program administration will streamline and simplify administrative tasks between providers and managed care entities...

...temporary supply through a local retail pharmacy until your mail order request is completed. To learn more about the mail-order service, please call our Member Services department at 1-833-230-2020 (TTY:...

...1947 Dayton, Ohio 45401 Email: CivilRightsCoordinator@CareSource.com Phone: 1-844-539-1732 Fax: 1-844-417-6254 You may also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil...

...prior authorization by contacting the CareSource Utilization Management Department via: Provider Portal Mail Phone When submitting an authorization request, please provide the following information: Member/patient name and 11-digit CareSource member...

...U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. Suicide Screening and Assessments Topic Resources Columbia Suicide Severity Rating...

...CareSource PASSE Provider Portal. Other Resources Substance Abuse and Mental Health Services Administration (SAMHSA) National Institute for Drug Abuse (NIDA) Opioids Opioid Crisis and Pain Management U.S. Department of Health...

Our Program Integrity Department handles cases of managed care fraud, waste, abuse, or overpayment. It can be done by providers, pharmacies, or members. Fraud means the purposeful misuse of or...

...chronic diseases, and reduce emergency department use. Supporting older adults’ ability to age in their homes by reducing medical and fall risks, ensuring robust social supports, and access to regular...

...Services Plans & Services Need to see more detailed plan benefit information? Get More Information Broker Service Department Broker Service Department Our support team is here for you. Broker Services...