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Medicaid health care coverage is available for eligible Ohioans with low income, pregnant women, infants and children, older adults and individuals with disabilities. CareSource Medicaid is available across the state of Ohio. When you apply for Ohio Medicaid, you can choose CareSource as your managed care plan.
The difference between Medicaid and Medicare is that Medicaid is managed by states and is based on income. Medicare is managed by the federal government and is mainly based on age. But there are special circumstances, like certain disabilities, that may allow younger people to get Medicare.
The Ohio Department of Medicaid (ODM) provides health care coverage to more than 3 million Ohioans through a network of more than 165,000 providers.
The state contracted with three health plans to manage care for beneficiaries. Three plans, Coventry Cares of Kentucky, Anthem Health Plan, and Wellcare of Kentucky are national, for-profit plans. Anthem Health Plan is the newest MCO in the state. Anthem was selected to serve the Medicaid expansion population.
Prior authorization allows CMS to make sure items and services frequently subject to unnecessary utilization are furnished or provided in compliance with applicable Medicare coverage, coding, and payment rules before they are furnished or provided.
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People also ask

Buckeye Health Plan Rated Best Medicaid Health Plan for Quality Performance. The Ohio Department of Medicaid (ODM) awarded Buckeye Health Plan the highest quality rating among all Ohio managed care plans with 20 stars across the five categories on its 2018 Managed Care Plans Report Card published today.
Medicaid Plans KY Medicaid is health insurance for people with low incomes. You might be able to get Medicaid in Kentucky if you're pregnant, have children or live with a disability. In some cases, other adults also may qualify. Costs to you are low and based on your ability to pay.
Kentucky Medical Program (KMP)
When You Are Outside of Our Service Area. If you get sick or hurt while traveling outside of our service area, you can get medically necessary covered services from a provider not in our network. Prior to seeking urgent care, we encourage you to call your PCP for guidance, but this is not required.
CareSource is an HMO with a Medicare contract. Enrollment in CareSource depends on contract renewal. Members can submit unresolved issues directly to Medicare by completing the Electronic Complaint Form.

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