...not ask for any money to keep your Medicaid benefits. Please report suspicious activity to: Ohio: Call the Ohio Attorney General at 1-800-282-0515 (TTY: 711) or visit www.ohioprotects.org. Indiana: Call...

...Your provider can submit a request for a prior authorization using the Prior Authorization Request Form (coming soon). If you are seeing a specialist, they will get approval from your...

...needed emergency services or CareSource specifically authorized the services. Use our Find a Doctor/ProviderFind a Doctor/ProviderFind a Doctor/ProviderFind a Doctor/ProviderFind a Doctor/Provider tool to see if your doctor is in...

...assigned to a health plan other than CareSource, you can switch within 90 days by calling the Ohio Medicaid Consumer Hotline at 1-800-324-8680. Ohio Medicaid’s managed care plans Ohio Medicaid’s...

...quality care: EyeMed Provider Routine Vision References Access information on topics such as covered routine vision services, claims submissions, and prior authorization requirements and processes. Vision Provider Manual This manual...

...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...

...included a state hearing request form, you may request a state hearing to have your request reconsidered. Remember, you must have gone through the full CareSource appeal process before you...

...other industry ICD-10 websites. New CMS-1500 Claim Form Ohio Department of Medicaid (ODM) Tips & Alerts Claims Compliance Date Span Date Billing ICD-10 and Dental Claims Billing Unspecified Codes Inpatient...

...secure Web forms, or phone numbers/mailing addresses provided. Secure Website Services Certain online services are available to CareSource members and providers via our Secure Website Services. The secure website services...

...prescribe. These drugs may require prior authorization. Prior Authorization means the drug needs approval before it is covered. Check the PDL for drugs that require prior authorization. Pharmacy Advantage can:...