...encouraged to use self-service channels to verify beneficiary eligibility. These reimbursement policies apply to our Ohio Medicaid plan. These reimbursement policies apply to our Ohio Marketplace plans. These reimbursement policies...

...policies are added as appropriate, while previous versions are maintained in the policy archive. These policy changes are maintained on this site. These medical policies apply to the MyCare Ohio...

...937.224.3300 Columbus, Ohio 614.221.3370 Atlanta, Georgia 678.214.7500 Indianapolis, Indiana 317.982.6400 Frankfort, Kentucky 502.213.4700 Cleveland, Ohio 216.839.1001 Charleston, West Virginia 681.319.9500 TTY user should call 711 Hours of Operation and Holidays...

CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Services That Require Prior Authorization Please refer to the Procedure Code Lookup Tool to check whether...

To learn more about appeals and how to file an appeal for your plan, choose your plan from the drop down list above, then click GO. An appeal is how...

The following chart is a summary of what you get when you have: MyCare Ohio (MEDICARE + MEDICAID) MyCare Ohio (Medicaid Only) This is your chance to make your health...

...pay when you receive covered services. Access the EOC below that corresponds to your plan: OHIO Find Your County Below Plans Available Ashland, Carroll, Cuyahoga, Geauga, Hancock, Holmes, Lawrence, Licking,...

To have your health care services covered by your CareSource plan, you must get them from a network provider. The only exceptions are: In cases of emergency; If you need...

...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 (HMO D-SNP) in the first...

...office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778 (applications); or Ohio Department of Medicaid (applications): https://medicaid.ohio.gov/families-and-individuals/coverage/01-how-to-apply Best Available Evidence If you...