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Hepatitis C Treatment Prior Authorization Form Phone: 18004880134 Fax: 18669300019 Patient Information Patient Name: Date: CareSource ID: Patient DOB: Patients Address: City/State/Zip: Patients Phone.

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Call us at 1-800-488-0134. If you get assigned to a health plan other than CareSource, you can switch within 90 days by calling the Ohio Medicaid Consumer Hotline at 1-800-324-8680.

You can call CareSource Member Services at 1-800-488-0134 (TTY: 1-800-750-0750 or 711). Member Services is open from 7 a.m. to 8 p.m., Monday through Friday. We are closed on certain holidays.

Please call Member Services at the number below if you have any questions. Member Services: 1-800-488-0134 (TTY: 1-800-750-0750 or 711), Monday – Friday 7 a.m. – 8 p.m.

Call us at 1-844-607-2829 (TTY: 1-800-743-3333). We want to hear from you! Choose CareSource when you apply for benefits or during an open enrollment period.

Call Us. Member Services: 1-833-230-2099 (TTY: 711), Monday through Friday, 7 a.m. to 7 p.m., Eastern Time.

The company's managed care business model was founded in 1989 and today CareSource is one of the nation's largest Medicaid managed care plans. Headquartered in Dayton, Ohio, the company has built a legacy of providing quality health care coverage for Medicaid consumers.

CareSource® MyCare Ohio is a Medicare-Medicaid plan that delivers extra benefits and the coordinated care needed by both patients and caregivers, giving patients more coverage and caregivers more options.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232