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...

...a list of web site links to your state’s facts. For more info, click on your state’s link or call the state number listed below: Ohio Call 1-800-282-6556 Georgia Georgia...

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,...

...Periodontics Medicare + Medicaid Enhanced Dental Benefits If you have both your Medicare + Medicaid with CareSource MyCare Ohio you also get: $5,000 to use toward additional supplemental services such...

...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...

...providers in network for your plan, as well as search by specialty and more. Use the link above, scroll down to Ohio and filter the results under Medicare by selecting...

Medicare + Medicaid Medicaid Only If you’re a Medicare + Medicaid CareSource MyCare Ohio member you get the following transportation benefits: Enhanced Transportation Get rides for an unlimited number of...