...will reach out to you when you join CareSource PASSE. Get your CareSource PASSE member ID card Your member ID card comes in your New Member Booklet. Always keep your...

...with information sufficient to identify the member, shall be deemed notice to us. Submit claims to: CareSource, P.O. Box 8730, Dayton, OH 45401-8730 See your EOC or call Member Services...

...or multiple pharmacies Sharing a member ID card Obtaining unnecessary equipment/supplies Changing prescription forms to get more than the amount of medication prescribed by their physician Member receiving services or...

...All internal appeal requests must have: The covered person’s name and ID number as shown on the ID card The provider’s name The date of the medical service The reason...

...services to get a higher repayment Members who: Share their CareSource member ID card with another person Sell prescribed medications or other medical equipment paid for by CareSource Provide inaccurate...

...grievance with the state or us. Call Member Services or send a letter to: CareSource Attn: Member Grievances P.O. Box 1947 Dayton, OH 45401 You can also file a grievance...

...CDC Member Services: 1-833-230-2005 (TDD/TTY: 711) Monday through Friday, 8 a.m. – 5 p.m. CT Member Health Resources Member Health Topics & Preventive Health Guidelines CareSource wants to make sure...

...have been paid by CareSource. Member Consent/HIPAA Authorization Form: Use this form to share your health information with your providers or someone else: Fill out the form online. Print the...

...form. Disputes & Appeals Forms Appointment of Representative to File an Appeal on Patient/Member's Behalf Submit this form to request an appeal on behalf of a member. Expedited Appeal Form...

...the CareSource JobConnect Program? CareSource JobConnect serves members that are: CareSource members or parents/legal guardians of a minor child who is a CareSource member Over the age of 16 Over...