Provides State Medicaid, Marketplace and Medicare Advantage services to almost 2 million members in 5 states including Ohio.

Provides health insurance through a managed care plan (MCP) for children and pregnant women in low-income families. Services for children include hospital or acute illness care, well-child checkups, limited dental care, eyeglasses, prescribed medication, and immunizations. For pregnant mothers, will cover doctor visits before and for 60 days after delivery, prescriptions, and the delivery itself.

Provides public insurance to cover medical services to those of any age who require long term care, which may include doctor visits, some prescription drugs, hospital care, home care, long-term care, medical equipment, transportation, mental health, vision, dental, substance abuse services and other services. Medicaid is the payer of last resort - Medicare will be billed first if client is eligible for it.

PASSPORT (Pre-Admission Screening System Providing Options and Resources Today) provides an alternative to nursing home placement through coordinated in-home services to Medicaid eligible older adults. This program provides Medicaid and state funds to assist and enable an individual with long-term care needs to remain in their own home. Services provided include: Personal Care Assistance, Homemaker, Respite Care, Home Delivered Meals, Chore Service, Medical Transportation, Adult Day Care, Minor Home Modification and repairs, Durable Medical Equipment and Supplies, Nutrition Consultation, Social Work Counseling, Case Management, by an RN or LSW, to coordinate the care plan is provided to all PASSPORT clients.

Helps pay for children's medical expenses.

Provides navigation services. Helps community members with understanding insurance options and benefits, Medicaid and SNAP enrollment, as well as referral to other community services and resources.

Provides low income persons who are Medicare recipients with several programs including Qualified Medicare Beneficiary (QMB), Specified Low-income Medicare Beneficiary (SLMB), and Qualifying Individual-1 (QI-1) that offer different levels of assistance to pay Medicare premiums and, in some cases, deductibles and co-payments.

Provides public insurance to cover medical services that may include doctor visits, some prescription drugs, hospital care, home care, long-term care, medical equipment, transportation, mental health, vision, dental, substance abuse services and other services. Medicaid is the payer of last resort - Medicare will be billed first if client is eligible.

Aged, Blind, or Disabled (ABD) Medicaid offers a span of programs for older adults and people with disabilities to assist with medical expenses. These programs provide health care coverage consisting of primary and acute-care benefit packages along with long-term care. Provides public insurance to cover medical services that may include doctor visits, some prescription drugs, hospital care, home care, long-term care, medical equipment, transportation, mental health, vision, dental, substance abuse services and other medical services. Once approved for Medicaid, clients will be auto-enrolled into one of the seven Managed Care Plan options (MCP). Medicaid recipients are required to renew their coverage annually and will receive Medicaid Renewal packets before their Medicaid Certification period expires.

Offers a managed health care plan for Medicaid-approved individuals. Services for clients include 24 hour nurses hotline, claims processing, case/medical management, provider relations and medical transportation.

The Ohio Home Care Waiver Program (OHC) meets the needs of people who prefer to get long-term care services and supports in their home or community, rather than in an institutional setting. CareSource has contracted with the Ohio Department of Medicaid in the role of a Case Management Agency. CareSource in partnership with local Area Agency on Aging, Area Agency on Aging 3 will deliver Case Management services for the OHC program to help people meeting Medicaid financial criteria, who are under 60 years of age and assessed with an Intermediate or Skilled Level of Care, along with other program requirements

Provides a wide range of health care services including physical examinations, immunizations, family planning, and dental care. Also provides a Marketplace Certified Application Counselor on-site for health insurnace application assistance. Other services available include behavioral health services, licensed social worker, and pharmacy services for established patients

Provides assistance with paperwork for Medicare, Medicaid, Social Security, housing, food stamps, insurance, etc.

Provides low income individuals who are Medicare recipients with several programs including Qualified Medicare Beneficiary (QMB), Specified Low-income Medicare Beneficiary (SLMB), and Qualifying Individual-1 (QI-1) that offer different levels of assistance to pay Medicare premiums and, in some cases, deductibles and co-payments.

Provides information and processes applications for Ohio Healthy Start, federally known as (CHIP) Children's Health Insurance Program. Ohio Healthly Start provides free or low-cost health insurance for children in families with income too high to qualify for Medicaid, but too low to afford private coverage.

Provides public insurance to cover medical services that may include doctor visits, some prescription drugs, hospital care, home care, long-term care, medical equipment, transportation, mental health, vision, dental, substance abuse services and other services. Medicaid is the payer of last resort - Medicare will be billed first if client is eligible for it.

Determines eligibility and processes applications for Medicaid. Medicaid is a state and federally funded health care coverage plan for low-income and medically vulnerable people who meet financial requirements.

Provides supports needed by client (based on assessed needs) to continue living in the community. These waivers can be used to pay for a wide range of services, including housing, in-home services (such as help with meal preparation and household chores) and other services to maintain the independence of the client (such as transportation, help with budgeting, and life skills training as needed). There are three types of waivers depending on the level of the client's needs. The Individual Options (IO) Waiver is for people who may need a lot of help in their home and who may need many different kinds of services. The Level One Waiver is for people who do not need a lot of paid staff to provide services. Usually, people using a Level One Waiver only need help with a few things, or they have people who can help them with some of the things they need, like cooking meals, taking showers, or driving places. The Self-Empowered Life Funding (SELF) Waiver is for people who want to be in charge of some of their services. Those with a SELF Waiver can be in charge of hiring and training the people that provide services and manage their own budget for services. The board can help the individual select which waiver is right for them and can help the client locate service providers who can accept the waiver.

Investigates concerns and complaints about nursing homes, group homes, community based home health care, and assisted living facilities. Also handles complaints related to the MyCare managed care system. Complaints can be anonymous. Program also will help consumers select a long term care facility and provide information about local facilities. Operates a volunteer program that advocates for quality care for nursing home residents.

Medicaid provides medical insurance coverage to low income people, blind, disabled, pregnant or members of families with dependent children. There are many types of Medicaid, including: Medicaid for aged (65 or over), blind, or disabled people, Healthy Start/Healthy Families Medicaid, for income eligible pregnant women, children and families, Nursing Home Medicaid, with special rules for people in nursing homes, Waiver Medicaid, with in-home nursing assistance and other services to elderly or disabled people who would otherwise be in a nursing home.

Assists residents with disability/SSI terminations, Medicaid, unemployment, cash assistance, and food stamp denials.

Home and community-based waivers are programs of in-home and community care that help Ohio Medicaid consumers remain at home instead of being in a nursing home, hospital or facility for people with mental retardation and/or developmental disabilities.