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Claims
https://www.caresource.com/providers/provider-portal/claims/...The Ohio Department of Medicaid (ODM) has implemented the OMES to enhance the efficiency of the Next Generation MCOP. The full implementation of the OMES modules is underway, aimed at...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/CareSource PASSE™ follows Arkansas Medicaid’s evidence-based Prescription Drug Program, Preferred Drug List (PDL) and Prior Authorization Criteria. Search Tips: To access the downloadable Preferred Drug List and Prior Authorization Criteria...
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Forms
https://www.caresource.com/providers/tools-resources/forms/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...
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Electronic Visit Verification
https://www.caresource.com/providers/education/patient-care/electronic-visit-verification/...service Time the service begins and ends Provider types and list of the specific services that fall into each phase below can be found here. Ohio Department of Medicaid: EVV...
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COVID-19 Information and Resources
https://www.caresource.com/members/tools-resources/covid19/...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...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...guidance. State Information Ohio Department of Health Contact Us If you are not finding the information you need or have more questions, please call us. Our Provider Services staff is...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...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...
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Contact Us
https://www.caresource.com/members/contact-us/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...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...CareSource® MyCare Ohio (Medicare-Medicaid Plan). You will find key information that will make it easier to do business with us and assist you in serving our members. MyCare Ohio Resources...
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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...referenced above: Log on to CAQH using your account information. Select the Authorization tab. Make sure CareSource Medicaid Ohio isCareSource Marketplace Ohio isCareSource Advantage Zero Premium and CareSource Advantage Ohio...
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