...Apria Terming as DME Provider 10/03/2014 CareSource Advantage (HMO SNP) Non-Renewal 10/01/2014 State of Ohio Clarifies FQHCs, RHCs not Eligible for PRCI 09/29/2014 7 Day Follow-up After Hospitalization for Mental...

...referenced above: Log on to CAQH using your account information. Select the Authorization tab. Make sure CareSource Medicaid Ohio isCareSource Marketplace Ohio isCareSource Advantage Zero Premium and CareSource Advantage Ohio...

...Area MEDICARE ADVANTAGE – D-SNP CARESOURCE DUAL OPTIONS CareSource Dual AdvantageTM (HMO D-SNP) and CareSource Dual Advantage Plus (HMO D-SNP) are for individuals who qualify for Medicare Parts A &...

...these clinical guidelines. These medical policies apply to Medicare Advantage plans. Medical policies offer guidance on determination of medical necessity and appropriateness of care for approved benefits. Benefit determinations and...

EXPLORE YOUR BENEFITS You don’t need to do anything to access these benefits. As a CareSource Dual Advantage member, you’re already enrolled, and your 2025 benefits are ready for you....

Important News About CareSource Coverage The Next Generation MyCare Ohio program started January 1, 2026. MyCare Ohio is a managed care program designed for Ohioans who receive BOTH Medicare and...

Don’t Risk Losing Your CareSource Health Care To stay a CareSource member, you need to renew your Medicaid benefits every year. This is done through the Georgia Division of Family...

...(HMO D-SNP) / CareSource Dual Advantage™ PLUS (HMO D-SNP) CareSource Dual Advantage™ (HMO D-SNP) / CareSource Dual Advantage™ PLUS (HMO D-SNP) CareSource offers Dual Advantage plan options uniquely designed for...

...you can fill your prescription. 2026 Medicare Part D Prior Authorization Criteria (Updated on 04/01/2026) 2025 Medicare Part D Prior Authorization Criteria (Updated on 12/01/2025) 2026 Medicare Part B Drug...

...These reimbursement policies apply to Medicare Advantage plans. Reimbursement policies are designed to assist you when submitting claims to CareSource. They are routinely updated to promote accurate coding and policy...