Member Services We can help you: Get interpreters in the language you speak. Get printed copies of your plan materials sent to you at no charge. Learn more about your...

...Ohio: Ohio Department of Medicaid (ODM) – 1-614-466-0722 Medicaid Fraud Control Unit (Mfcu) – 1-800-282-0515 The Ohio Auditor Of State (AOS) – 1-866-Fraud-OH or by email at fraudohio@ohioauditor.gov Employee Ethics...

...Fraud (Ohio Revised Code Section 2913.40) Medicaid Eligibility Fraud (Ohio Revised Code Section 2913.401) Falsification (Ohio Revised Code Section 2921.13) Offenses by Medicaid Providers (Ohio Revised Code Section 5164.35) Kentucky...

We have compiled all of the essential forms in one place for you to utilize. Select the applicable form(s) for reporting, credentialing, claims, and more. Note: You may need to...

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...

...Behavioral Health Medicaid Benefits Continuum Resource 2022 HCBS Medicaid Benefits Continuum Resource Fee Schedules HCBS 1915 (c) HCBS 1915 (i) CareSource® evaluates prior authorization requests based on medical necessity, medical...

...service not covered by Medicaid, the provider may charge the member for the service as long as the member has been told prior to receiving the service that it was...

These administrative policies apply to the Georgia Medicaid plans. These administrative policies apply to the Ohio Medicaid plan. These administrative policies apply to the Indiana Medicaid plans. These administrative policies...

...here to create an account through the state’s login system, ohid.ohio.gov. Providers needing technical assistance can contact Ohio Medicaid’s Integrated Help Desk (IHD) at 1-800-686-1516. The IHD is open Monday...

...Use this benefit grid to understand the Ohio Department of Medicaid (ODM) and Mental Health and Addiction Services (Ohio MHAS) Opioid Treatment Program (OTP) Medicaid covered services for providers already...