Caresource ohio explained

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You do not have to receive your Medicare benefits from your MyCare Ohio plan. You may choose to continue to receive your Medicare benefits in the way you do today. However, your Medicaid benefits will only be available through a MyCare Ohio plan. Why should I elect to receive dual-benefits from a MyCare Ohio plan?

The current Medicare and Medicaid services are confusing and difficult to navigate and there is not a single entity which is accountable for the whole person. MyCare Ohio dual benefits members also only have to carry one medical coverage card.

MyCare Ohio offers members: one point of contact, person-centered care, seamless across services and settings, easy navigation for members and providers, and wellness, prevention, coordination and community-based services. The MyCare Ohio plan benefit package includes all benefits available through the traditional Medicare and Medicaid programs, including long-term care services both in the community and in a nursing facility as well as behavioral health services.

What about medical services I already have approved or scheduled? What if my doctor or hospital is not in the MyCare Ohio plan network? MyCare Ohio plans are required to provide transition of care benefits for non-contracted providers of many services, including physician and pharmacy. After the transition period, members must utilize providers who are within the MyCare Ohio plans provider network. If you have full Medicaid eligibility and you are having difficulty in getting to a medically necessary service, then you may request transportation assistance.

The type of assistance available may depend on whether you are a member of a Medicaid managed care or MyCare Ohio plan, in which county you live, and whether you are bringing along a non-folding wheelchair or power scooter that doesn't fit easily in a standard vehicle.

Medicaid managed care and MyCare Ohio plans can offer free transportation to their members as an additional benefit above and beyond what the state requires. This "value-added" benefit can be limited to a specific number of trips a year.

Members may take these trips to get to healthcare appointments and other services as well, but no one is required to use them up or even to use them at all. If you are a member of a Medicaid managed care or MyCare Ohio plan, then contact your plan in any of the following circumstances: You use a non-folding wheelchair or power scooter that doesn't fit easily in a standard vehicle or you need to sit in your folding wheelchair during transport.

You must travel 30 miles or more one way because the medically necessary treatment covered under your plan is not available at a closer location.

You have a value-added ride available that you want to use. More information on Transportation Assistance. What happens now? When you move to a county that does not have MyCare Ohio, enrollment in MyCare Ohio will end on the last day the month.

What should I expect to receive from my MCP as a new member? Once you are enrolled in a MCP, you will get a welcome letter and your member identification ID card in the mail. Keep this card while you are on the plan. The MCP will also send you information about your doctors, health services, and scope of coverage. This ongoing engagement will prevent unnecessary out-of-home placement, such as hospitalization, and prompt aftercare when children return home from hospitalization.

We are excited to start this work and to empower kids and families to achieve better health. Since , the Child and Family Health Collaborative of Ohio has advanced value-based care and social services innovation among more than forty community agencies spanning every region of Ohio.

Learn more at www. Jul 9, Recent Posts See All.

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That year CareSource broke ground on its new corporate headquarters in Downtown Dayton, showing the company's commitment to the city it was founded in. The project was the largest urban building development in Ohio at the time. The ,square-foot, 9-story building is downtown's first new office tower since before In , the company announced a partnership with Humana. This partnership worked to serve dual-eligible populations, or individuals who qualify for both Medicare and Medicaid in Ohio.

From to , the company's revenue grew CareSource's percent growth was more than double the average revenue growth of the other 99 largest Dayton companies in that time frame. CareSource used this opportunity to create a plan which assimilates both Medicaid and Medicare into one CareSource health plan. CareSource celebrated 25 years as one of the nation's largest Managed Medicaid Plans and the largest in Ohio in The company then served more than 1 million consumers in Ohio and Kentucky.

In late and early a new division of CareSource was launched to address the other unmet needs of the company's Ohio Medicaid population. Through a partnership with Fuyao Glass America , the company was able to set up interviews for 40 members for full-time employment with the manufacturing company.

This new approach informed the way CareSource began to see its members. In , CareSource began serving members in West Virginia through its health exchange product and was awarded the contract to serve Medicaid populations in Indiana [27] and Georgia.

The growth in membership was matched by growth in the number of employees. A lease was signed for some employees to move into space on two floors of the Kettering Tower, which was renamed Stratacache Tower in , [28] in downtown Dayton to make room for a total of 2, employees in the city. The new building would provide space for employees and create a campus-like environment in the urban core. In CareSource became the largest locally owned company by revenue in the Dayton-area after Marathon Petroleum Corp.

The CareSource Foundation celebrated its 15th Anniversary in Headquartered in Dayton, Ohio, CareSource has a workforce of 4, employees and covers nearly 2 million members. There are satellite offices in the Ohio cities of Cleveland and Columbus , as well as Atlanta , Indianapolis , and Louisville, Kentucky.

From Wikipedia, the free encyclopedia. Health Insurance Provider. Dayton, Ohio. United States. Ernst and Young. Dayton Business Journal. Cincinnati Business Courier. Retrieved Columbus Business First.

Archived from the original on November 20, Archived from the original PDF on There are no other behavioral pediatricians in our metro. The news was equally upsetting for Reinert, who said her son loves his speech therapist and has made great strides since beginning sessions at the hospital.

Now we're stuck and to go find another insurance you have to wait until open enrollment period. It makes you feel helpless. Reinert said she will begin looking for another speech provider that's in-network and discuss with her husband whether they can continue speech services for their son at all. CareSource and Cincinnati Children's launched a partnership in to improve care for , Medicaid-covered children in southwest Ohio.

Under the partnership, Cincinnati Children's, which developed a HealthVine network to support the initiative, assumed "accountability for cure management and utilization management for the children.

The network was designed to ensure children can access primary care as well as behavioral health services, Dr. Mona Mansour, a Cincinnati Children's pediatrician, said in a news release. Brooks Sutherland Cincinnati Enquirer. View Comments View Comments.

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