...Pharmacy Your pharmacy benefits are provided by Gainwell Technologies. Gainwell Technologies is the Single Pharmacy Benefit Manager (SPBM) for all Ohio Medicaid members. Learn more at spbm.medicaid.ohio.gov. Extra Benefits Rewards...

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...

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)...

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,...

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...

...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...

...managed by the Ohio Department of Medicaid (ODM) Pharmacy team and the Single Pharmacy Benefit Manager (SPBM) Gainwell Technologies. Please visit the ODM Pharmacy website for News, Drug Coverage, and...

Earn rewards for keeping your patients healthy! Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help...

...Program design is to ensure the organization delivers on all aspects of care delivery for CareSource MyCare Ohio members based on their unique needs. We monitor, analyze and identify opportunities...

...D-SNP) CareSource® MyCare Ohio (HMO D-SNP) With CareSource MyCare Ohio (HMO D-SNP), you get a fully integrated health plan that combines Medicare and Medicaid into a single, easy-to-manage option. Learn...