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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...appeal. Information you want to attach. A phone number where we can reach you. Who can help you file your appeal? Your care coordinator or Member Services can help you...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/CareSource MyCare Ohio allows individuals to select Medicaid only coverage from the plan managing their CareSource MyCare Ohio benefits. Individuals may choose to have CareSource MyCare Ohio either: Provide their...
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Training & Events
https://www.caresource.com/providers/education/training-events/...of your choice to complete training and manage accounts for all providers in your Tax Identification Number (TIN). *Office Managers/Administrators and providers without an NPI number will need to set...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...within 30 calendar days of the date of the internal appeal notification. Providers must complete the “Ohio Medicaid MCE External Review Request” form located at www.hmspermedion.com (select Contract Information and...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...and out-of-pocket limit. If you think you’ve been wrongly billed, contact the Centers for Medicaid & Medicare Services (CMS). The federal phone number for information and complaints is: 1-800-985-3059. Visit...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...Authorization & Provider Portal Portal providers and/or their delegates should follow Ohio Department of Medicaid’s (ODM) guidelines to submit prior authorization requests and supporting documentation through the Ohio Medicaid PNM...
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Disaster Readiness
https://www.caresource.com/members/education/planning-ahead/disaster-readiness/...members can text or call this person to let them know they are safe. Know important phone numbers. Keep them in your cell phone and post them near your home...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...of the grievance. Do You Need More Help? Please call Member Service at the number below if you have questions about your rights or need help. You may also write...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/...you to follow up with your primary care provider (PCP). Have your CareSource member ID number ready when you call. You will need to answer a few questions about the...
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Contact Us
https://www.caresource.com/members/contact-us/...the number below and on your CareSource ID card. This is a free service. We can read the information aloud for you, in English or in your primary language. We...
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