...Managing General Agencies. In order to get contracted to sell CareSource health plans in Ohio, you must utilize one of our exclusive Managing General Agencies located conveniently across the state...

...in a MyCare Ohio plan. Meet an intermediate or skilled level of care as determined by the State of Ohio rules. Waiver services include a variety of services including: Personal...

...Changes Effective January 1, 2019 12/01/2018 The drug formulary changes noted below are historical. Effective October 1, 2022, the drug formulary and changes are managed by the Ohio Department of...

...can be up to a 30-day supply at a network pharmacy if one of the following is true: You are new to CareSource MyCare Ohio in the first 90 days...

Get Your Prescriptions Delivered to Your Door! You can get many of your Medicare Part D drugs sent to your home through mail. We work with Express Scripts® to offer...

Our Provider Manual is a resource for working with our health plan. This manual communicates policies and programs and outlines key information, such as claim submission, and reimbursement processes, authorizations,...

CareSource of North Carolina Co.® is committed to maintaining the quality and appropriateness of health care services provided to our members. The Utilization Management department performs all utilization management (UM)...

We realize that you perform administrative tasks in addition to tasks directly related to patient care. To assist you with these tasks, we’ve consolidated the information below. Member Billing Providers...

...Carve-In for Ohio Medicaid and Ohio MyCare members Care & Disease Management Learn how our care and disease management programs can help those suffering from complex health conditions. Dental Access...

...Ohio Department of Medicaid’s preferred drug list, or PDL. A PDL is a list of drugs that are preferred for your provider to prescribe. You can find a copy of...