...Acrobat Reader. Provider Manual Macomb Prepaid Inpatient Health Plan (PIHP) Provider Manual Addendum Dental Provider Manual The dental provider manual is a resource for our dental providers and serves as...

...Provider Services 1-833-230-2101 Medical Prior Authorization 1-833-230-2101 Fax: 1-844-676-0372 Pharmacy Prior Authorization 1-833-230-2101 Pharmacy 1-833-230-2101 Claims 1-833-230-2101 CareSource Attn: Claims Department P.O. Box 803 Dayton, OH 45401-0803 Appeals 1-833-230-2101 CareSource...

...health and well-being. Together we can transform lives through innovative health and life services Our difference Non-profit organization committed to putting people over profits Focused on individual and family health...

...internal appeal request involving urgent care, which may be requested in writing, verbally or electronically. All internal appeal requests must include the following information: The covered person’s name and identification...

...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...

...newsletters, our website, direct mailings, provider manual, and through focused meetings with CareSource Provider Engagement Specialists. A broad range of wellness, preventive health and chronic disease management tools are also...

...This includes providers that perform in-office surgeries. These services should be available at no cost to the member. Submit the Interpreter Service Request Form (coming soon) to request interpretation services...

...Care form – PCP to Specialist (coming soon) Coordination of Care form – Specialist to PCP (coming soon) Depression Reference Guide Find a Doctor Forms Pregnancy Transportation & Interpreter Services...

...SEC. 2913.40 MEDICAID ELIGIBILITY FRAUD, OHIO REVISED CODE SEC. 2913.401 FALSIFICATION, OHIO REVISED CODE SEC. 2921.13 OFFENSES BY MEDICAID PROVIDERS, OHIO REVISED CODE SEC. 5164.35 CareSource Policy It is the...

...will review the provider’s request and begin building the provider’s contract. CareSource will coordinate with the CVO to confirm the status of providers who request to enroll with us and...