Providers can get help by calling Provider Services at 1-800-488-0134. Customer Contact. q*,Ym80Lei2&Aei(P;-:bh'K3$Fb0U#G,;Qs.<2L In addition to information about how to submit claims and check payments, CareSource offers you tools to find specific information, such as claim status and member coordination of benefits (COB) status. The changes have enhanced the individual and provider experience. Prior Authorization Search & Submissions. Find the forms you need to serve members and transact business with the IHCP. The IHCP offers provider training opportunities including instructor-led workshops, seminars, webinars, and self-directed web-based training modules. If you have questions about IHCP provider enrollment, enrollment status or provider profile updates, call Customer Assistance at 800-457-4584 and select option 2, and then option 1 to check provider enrollment status or option 3 to update provider enrollment information. *WWL42+Ew7Hj^)J^Z=]WMiEjE-k+;{hU. |tkT39C4OiU:mJOv^{MA4C ) ww4:CeFhF]6PU"0x15>g|g>EoVuub2Z.u;yzx{>4cX^5092cc, IjiYC#xtd-@Za\KQ.s gbmbSa_ a0>. To find the direct phone numbers for your needs, please visit the Contact Us pages shown under . <>/Metadata 1143 0 R/ViewerPreferences 1144 0 R>> <> Caresource Health Plan is an Oregon Assumed Business Name filed On November 19, 2004. Provider Relations regions are organized to minimize provider wait times when providers need assistance. Visit this page for information about upcoming webinars and recordings of past presentations. CareSource has partnered with ECHO Health, Inc. to deliver provider payments. Ordering, Prescribing or Referring Providers. link to reset your password, or you can wait 24 hours and attempt to log in again. Provider Services can also help with obtaining a unique CareSource portal ID for registration and log on. Questions? It has critical information and tools to save your practice time. It can also be used to review or modify a registration. The IHCP reimburses for hospice services in a hospice facility, in a nursing facility, and in a private home. In addition to initiating your prior authorization request through the provider portal, you can now submit requests to update your authorization requests. Your Group Name, Tax ID, Provider ID and ZIP Code must match exactly as listed on your Explanation of Benefit (EOB) or welcome letter from CareSource. Member & Eligibility Search. Call ECHO Customer Support at 1-888-834-3511. Tell Us. They issued a . Claims: 844-336-2677 PA: 800-788-2949 PA Fax: 858-790-7100 Dental Services DBM: DentaQuest DentaQuest Provider Portal 855-453-5286 Fax: 262-834-3589 CareSource Provider Services CareSource.com 844-607-2831 Member Services 844-607-2829 Claims CareSource Claims 844-607-2831 Prior Authorization - Medical and SUD CareSource PA 844-607-2831 Reference our Dental Provider Manual for dental services that require prior authorization. CareSource Find a Doctor. We are sorry, but your computer or network may be sending automated queries. Press Enter again after expanding an item to navigate to that page. %PDF-1.7 If you do not see the activation email in your Inbox, do one of the following: Confirm that you have entered the email you registered with. The Healthy Indiana Plan is a health-insurance program for qualified adults ages 19-64. Outpatient practices may register as Practitioner to create a portal account for the practice Tax ID. ^&w5A[N&{:`s =HvdERG;5`Ov%~bzv Three types of claims may be submitted: For a detailed explanation of how to submit claims using online forms, please see the CareSource Provider Portal Claim Submission User Guide. There will be new individual and provider portals that will look and act differently. The information that identifies and describes an enrolled IHCP provider is called a Provider Profile. All rights reserved. The IHCP Quick Reference Guide lists phone numbers and other information for vendors. Indiana Medicaid for Providers. Step-by-Step Guidance: Register for the Provider Portal. Contact Information. CareSource has partnered with Pulse8 and we are offering on line ICD-10-CM diagnosis coding and Risk Adjustment education sessions and webinars. Enroll as a provider with the IHCP to bring critical medical care to eligible Hoosier children and adults. The Health Insurance Portability and Accountability Act (HIPAA) contains the provisions for portability, Medicaid integrity, and administrative simplification. served to you completely ad free and you will be granted access to view every profile in its entirety, even CareSource is a nonprofit, multi-state health plan recognized as a national leader in managed care. Copyright CareSource 2022. We want to make it easy for you to stay aware of any changes with CareSourceplans, as well as new processes we create to make doing business with us more efficient. Overpayment Recovery Form Submit this form to offset overpaid claims against a future payment. You can accessinstructionsto complete the form and a list of valid service codes. Copyright 2022 State of Indiana - All rights reserved. Use the portal to pay your premium, If you get a message that you are already registered, go to the, If you get a message that the provider does not exist in Provider Portal, you can call the help line at, Locate the email in your email inbox to reset your Provider Portal password. Claims Search, EOP & Submissions. The Presumptive Eligibility process allows qualified providers to make PE determinations for certain eligibility groups to receive temporary health coverage until official eligibility is determined. If you do not see the email in your inbox, do one of the following: Confirm you are using the same email address that you registered with. 9ZYxl FdUgzhPh April 28th 2022 I requested a refund from Caresource due to overpayment of $510.28. Payment Review Tool Use this tool to reference CareSources pre- and post-payment review processes and appropriate contacts. Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of If the Tax ID for your facility or practice has already created an account to utilize the CareSource Provider Portal, a new account cannot be created. Electronic Data Interchange (EDI) Solutions. Member & Eligibility Search. How do i contact caresource.Please check this web page often to stay up to date with all updates.If you . Complaint Type: Problems with Product/Service. Find important information for providers, software developers, and trading partners that communicate via electronic data interchange format and direct data entry. Our Provider Services department will answer your calls from 8 a.m. to 6 p.m., Monday through Friday. New Provider Setup: Check Enrollment Status. The IHCP will implement an electronic visit verification (EVV) system for federally required provider documentation of designated personal care and home health services. The Registered Agent on file for this company is Corporation Service Company and is located at 300 Deschutes Way Sw Ste 208 Mc-Csc1, Tumwater, WA 98501. These provider education training links cover topics such as documentation requirements, billing guidelines, and other program integrity- and audit-related issues. New Provider Setup: Check Enrollment Status. CareSource accepts claims in a variety of formats, including online and paper [] The IHCP participates in the federal Promoting Interoperability Program to provide incentives for eligible professionals and hospitals to adopt, implement, upgrade, or demonstrate meaningful use of certified electronic health records (EHR) technology. Program for All-Inclusive Care to the Elderly (PACE). Questions? Humana - CareSource strives to make it easy for you to work with us, whether online or over the phone. Type the email address that you want associated to your Provider Portal account. The landscape of telehealth has quickly evolved over the past year. 011 888 0246 / 061 516 6878. 2 0 obj You can send us your question or request by telling us the information below. Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important The email you enter is used to send your user account activation. Policy Consideration Requests. IHCP-enrolled providers interested in enrolling as a provider for Healthy Indiana Plan (HIP), Hoosier Healthwise, or Hoosier Care Connect members must apply directly to one or more of the managed care entities (MCEs). With the Bizapedia Pro Search service you will get unlimited searches via our various search forms, PCP Roster & Clinical Practice Registry. % The Registered Agent on file for this company is Twila Farris and is located at 740 Se Seventh Street, Grants Pass, OR 97526. Family Member/Associate Transportation Providers. The Indiana Health Coverage Programs (IHCP) has a specific process for members, providers, or other interested parties who would like to submit requests for policy consideration. Providers interested in becoming qualified providers (QPs) for presumptive eligibility (PE) must complete an application through the IHCP Portal and contact IHCP Provider Relations to arrange training. This item is may be covered by Medicare, Medicaid or your commercial insurance plan.If . Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. The Preadmission Screening and Resident Review process is a requirement in all IHCP-certified nursing facilities, prior to admission or when there is a significant change in the physical or mental condition of a resident. The Preferred Diabetes Supply List helps ensure that IHCP members receive the highest quality products at the lowest cost. For example, you will now be able to add additional documentation or change dates of service. Claims Search, EOP & Submissions. Contact Us. Local, state, and federal government websites often end in .gov. Provider Enrollment Inquiries. We believe in benefits without boundaries. https://www.caresource.com/providers/contact-us/, Pregnancy Risk Assessment Form (PRAF 2.0), Covers documentation and coding of illnesses, Live sessions have a question and answer session after the presentation, On-demand sessions are approved for one CEU through the American Academy of Professional Coders (AAPC), If you are registering as a provider, select. CareSource has developed the Telehealth HEDIS Measure Quick Reference Guide to provide guidance for activities where telehealth visits, and their related claims, may contribute to measurable quality outcomes in HEDIS (Healthcare Effectiveness Data and Information Set). You can submit claims and any necessary attachments, track claim payments and more. check your deductible, change your Utilize our advanced search form to filter the search results by Company Name, City, State, Postal Code, Initial Complaint. The IHCP allows a family member or close associate of a Medicaid member to officially enroll as a driver, so the driver's mileage can be reimbursed. CareSources traditional providers, community partners and delegates and health homes all may submit claims through the CareSource Provider Portal using onlineforms. After you complete the paper claim form, you may either mail it or fax it for processing: CareSourceAttn: Claims DepartmentP.O. Complete an IHCP Provider Enrollment Application. that you found in the electronic or print . Enrollment transaction submissions are needed to enroll, add a service location, report a change of ownership, revalidate, or update provider profile information. We encourage you to submit claims online to take advantage of the following benefits: Refer to the Navigate User Registration. For all high tech radiology: CT, CTA, MRI, MRA and PET scans; providers should contact NIA or their web portal at www.radmd.com. Territory Map. . Indiana Medicaid Promoting Interoperability Program. To create your user account, do the following: Must contain one lowercase letter, one uppercase letter, one digit and one non-alphanumeric character. For preauthorization of medication supplied and administered in a physician's office and billed as a medical claim (Part B for Medicare) 866-461-7273 . In addition to information about how to submit claims and check payments, CareSourceoffers you tools to find specific information, such as claim status and member coordination of benefits (COB) status. Nonemergency medical transportation services for most members served through the fee-for-service delivery system are brokered through Southeastrans Inc. A Notification of Pregnancy transaction helps identify risk factors in the earliest stages of pregnancy and thereby improve birth outcomes. The 590 Program provides coverage for certain healthcare services provided to members who are residents of state-owned facilities. Providers can find pharmacy benefit information for the program/health plan with which the member is enrolled. This site is protected by reCAPTCHA and the Google. You will use this paper claim process until you can log in to the Provider Portal and access your service plan. 1 0 obj Press Enter or Space to expand a menu item, and Tab to navigate through the items. doctor, request an ID Card and more. Providers must be enrolled as MRT providers to be reimbursed for MRT services. Contact Us | CareSource best www.caresource.com. If you are registering as part of a provider group, select. CareSource offers this service at no cost. Status: Resolved. stream Health Insurance Portability and Accountability Act (HIPAA). Caresourcer.com uses Cookies to provide you with the best experience we can and to continue to improve the site.. . Enrolling as a Managed Care Program Provider. IHCP Medicaid Rehabilitation Option services include community-based mental health care for individuals with serious mental illness, youth with serious emotional disturbance, and/or individuals with substance use disorders. Paper claim forms are encouraged only for services that require clinical documentation or other forms to process. A Member Services representative will be happy to answer your questions Monday through Friday, 8 a.m. to 8 p.m. unless otherwise stated below. Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Prior Authorization Search & Submissions. Join us and watch your business grow. CareSource Medline is a Medicare and Medicaid participating supplier in some states. For example, you will now be able to add additional documentation or change dates of service. endobj We want to make it as easy as possible to conduct business with us. Medicare Savings Programs pay Medicare coinsurance, deductibles, and/or premiums for qualified elderly and disabled individuals. Program Integrity Provider Education Training. For more information, please click here. IHCP Quick Reference Guide. Ms. Jenny Michael, SVP, Advocacy; Mr. Erhardt Preitauer, President/CEO; . Established in 1989. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Find presentations from the most recent IHCP workshops and seminars are archived here. Check this page for training opportunities around electronic visit verification (EVV) for personal care and home health services. The Webinar details: Learn more about this great educational opportunity and register for the webinars. Locate the email in your inbox to activate your Provider Portal account, open it, and then click the. Learn more: PRAF Informational Webinar. The IHCP is working in collaboration with stakeholders to expand and improve SUD treatment. We want to make it as easy as possible to conduct business with us. company profile page along with the rest of the general data. Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. Providers have the option to submit claims through our secure, online Provider Portal. Go to https://www.caresource.com/providers/contact-us/. We administer one of the nation's largest Medicaid-managed care plans and offer access to care through health insurance, including Medicaid, Health Insurance Marketplace, Medicare Advantage and dual-eligible programs. o9hnplU )ev9NQgz?Y_Rt &si5Z +{V0K`^^7*7 P?$vhN77nqVYOQvMz9Z e-| `BJoK$\3wFhd7H1l:tQ"8vvc{T{~v [*Bk' #G,!Riu I;7sIK57tt2.u You can also review theWaiver Services Claim Entry and Service Plan Trainingpresentation. CareSource is excited to announce additional enhancements for the Provider Portal. For questions not addressed on our website, please call Provider Services at 1-800-488-0134.1-844-679-78651-855-852-55581-844-607-28311-866-286-99491-855-202-10581-855-202-10911-855-852-70051-844-539-17291-833-230-21761-833-230-2155 You can reach us Monday through Friday from 8 a.m. to 6 . Providers are responsible for keeping all the information in the Provider Profile up-to-date. The IHCP provider enrollment instructions and processes are outlinedon these web pages. Refer to the provider manualfor instructions to submit paper claims. Navigate * Change your doctor Request a new ID card View claims and plan details Update your contact information And more Login Sign Up. PACE provides community-based care for qualified members who are 55 and older that live in a PACE service area. * Change your doctor; Request a new ID card; View claims and plan details; Update your contact information Box 8730Dayton, OH 45401-8730Fax: 937-224-3388. When you register as a Group, you will have access to all information for all providers listed under the Group Tax ID. PCP Roster & Clinical Practice Registry. x}]s6}[>[M|[Su8x{wjg/[cIYLyI2r,i4F'ww_9W7_?^4/W_~;p_0\{1eDo34w_Np?O/xp_gztQ>8|o// :h1I~FJ8IIt[)]~Ff8 5j3Oo(] q[L=zx\y30?gv5{kxYzx4nMu 5Y=hPZ>;+HJW$JuF4=nUM:,LGp01]RjNBUe!RFt r-=/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 21 0 R 22 0 R 28 0 R 29 0 R 30 0 R 31 0 R 34 0 R 35 0 R 36 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> All rights reserved. Indiana Medicaid. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who Home- and Community-Based Services (HCBS). FSSA updates. MyCare waiver services providers can also submit claims through the Provider Portal, but they do not use the same process as traditional providers, community partners and delegates and health homes. They issued a . For your ZIP code, if you have multiple addresses in your profile, any ZIP code from the profile will work. Your entire office will be able to use your search subscription. Providers can get help by calling Provider Services at 1-800-488-0134. You will receive a response within one business day. April 28th 2022 I requested a refund from Caresource due to overpayment of $510.28. <> Network Notifications are published to communicate updates that impact claims, clinical guidelines, Provider Portal functions and more. IHCP reimbursement for services or medical supplies resulting from a practitioner's order, prescription or referral requires the ordering, prescribing or referring (OPR) provider to be enrolled with the IHCP. endobj To ensure that we have the most up-to-date service plan for our MyCareOhiomembers, please fax your service plan to 937-487-0936. Any inaccurate demographic information (phone number, address, etc.) While logged in and authenticated, you will not be asked to solve any complicated Recaptcha V2 challenges. Medicare Advantage: 1-844-607-2827 (TTY: 1-800-743-3333 or 711) Hours: 8 a.m. to 8 p.m. EST, seven days a week from October 1 to March 31, and Monday - Friday the rest of the year. Get answers to the most frequently asked questions about the IHCP. MA - Dual Special Needs: 1-833-230-2020 (TTY: 1-800-743-3333 . Provider Services can also help with obtaining a unique CareSource portal ID for registration and log on. Instructions for submitting claims and/or appeals for denial of claims can be found onthe Provider Portal. Learn about the many ways to contact the Indiana Health CoveragePrograms(IHCP). Providers and their delegates can learn how to make the most of the IHCP Provider Healthcare Portal through web-based training sessions. The company's filing status is listed as Active and its File Number is 604589175 . Submit this Navigate cover sheet and itemized statement for high dollar claims. It is important that you verify member eligibility on the date of service every time you provide services. To protect our site, we cannot process your request right now. Filing Jurisdiction, Entity Type, Registered Agent, File Number, Filing Status, and Business Category. 4 0 obj The .gov means it's official. Find links to provider code sets, fee schedules and more. 3 0 obj With more than 100,000 network providers across the coverage areas, and depending on your plan, you have plenty of choice when it comes to finding the best care available to meet your health needs. Claim your free profile. The email notifications are used to send notices to subscribers on behalf of the IHCP. Current offerings are posted here. All your information must match exactly as listed on your Explanation of Benefit (EOB) or welcome letter from CareSource. The Provider Portal makes it easier for you to work with us 24/7. IHCP Live webinars offer providers an opportunity to learn about new policy initiatives and billing guidance. When registering your email, check the category on the drop-down list to receive notices of CareSourceaccepts claims in a variety of formats, including online and paper claims. Click belowto see more! If you are in need of enterprise level search, please consider signing up for a Bizapedia Pro Search account as described on this page. Enroll with ECHO for payment and choose EFT as your payment preference for CareSource. This list is not inclusive of every health care service with a telehealth component. The changes have enhanced the individual and provider experience. The IHCP is interested in hearing from you if you have input or need assistance. The reset password email will come from a sender titled. Register for an account. If you send us your question or request on a Friday, you will receive a response by Monday of the next week. My CareSource , your personal online account.. Get the most out of your member experience. RANDBURG HEAD OFFICE. HCBS programs are intended to assist a person to be as independent as possible and live in the least restrictive environment possible while maintaining safety in the home. CareSource also partners with Availity to offer electronic claim submission and real-time transactions at no charge through theAvaility Portal. 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Service plan for our MyCareOhiomembers, please Contact us pages shown under modify. 048 8618 > CareSource | Better business Bureau Profile < /a > the landscape telehealth Work with us 24/7 to a new system platform on april 1, 2021 processing CareSourceAttn! Provider Healthcare Portal through web-based training modules CareSource Portal ID for registration and log on of benefit ( EOB or. To help answer your billing questions, or you can wait 24 hours and attempt log. Guidance ( including information about electronic transactions ), access our Pharmacy webpage to the provider manualfor to. State, and banner page publications service plans and not claim submissions Practitioner to create a Portal.. Choices Program monitors member utilization and, when appropriate, implements restrictions members Recent IHCP workshops and seminars are archived here all waiver codes require a authorization Response within one business day are 55 and older that Live in a private.. Improve the site.. 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( PRAF 2.0 ) decrease preterm births by facilitating progesterone treatment helps ensure that IHCP members receive the quality Your information must match exactly as listed on your Explanation of benefit ( EOB ) or welcome from Verify member eligibility on the Portal your claims, CareSource recommends you submit claims Plan with which the member is enrolled claim payments and more password, or you now. Adjustment education sessions and webinars //providerportal.caresource.com/GA/User/Register.aspx '' > find a Doctor | CareSource < /a > Contact |! Statement for high dollar claims additional documentation or other forms to process '' https: //secureforms.caresource.com/en/MemberInquiry/oh '' > /a Guidance ( including information about IHCP policies, procedures, and other FSSA news, reminders, and to Waiver Program case managed by CareSource has partnered with ECHO for payment and choose EFT as your payment preference CareSource. Any questions, please visit the Contact us | CareSource best www.caresource.com when,. Against a future payment, state, and trading partners that communicate via electronic interchange. To log in again review processes and appropriate contacts, when appropriate, implements restrictions for members are. Telehealth has quickly evolved over the phone of a provider for years, this is Dates of service providers to attend the 2022 IHCP Works seminar from Oct. 11 through Oct. 13 care The Pregnancy Risk Assessment form ( PRAF 2.0 ) decrease preterm births by facilitating treatment. Caresource recommends you submit all claims electronically 2022 state of Indiana - all rights reserved claim With ECHO Health, Inc. to deliver provider payments the best experience can Caresource Medline is a health-insurance Program for qualified Elderly and disabled individuals through Portal Providers have the option to submit paper claims through theAvaility Portal navigate payment Tool! Reference documents link to reset your password, or you can accessinstructionsto complete the paper form! Provide you with the IHCP use your search subscription products at the cost. How to make it as easy as possible to conduct business with the provider! And log on Tab to navigate to that page ( OPR ) provider before or! And register for the practice Tax ID for high dollar claims by calling provider services can also theWaiver. And webinars etc. Enter or Space to expand and improve SUD treatment possible to conduct business us Email Notifications are used to send your User account activation self-directed web-based training sessions the Medical review Team an Provider payments archived here provider code sets, fee schedules and more are not enrolled in managed care all. Eligibility Program deductibles, and/or premiums for qualified Elderly and disabled individuals services can also help with obtaining unique With ECHO Health, Inc. to deliver provider payments Enter or Space to expand a menu item, other S principal address is 740 Se Seventh email will come from a titled Us < /a > provider enrollment Inquiries providers @ caresourcer.com or call 0800 048.! And then click the responsible for keeping all the information below and transact business with us whether! Webinars offer providers an opportunity to learn about the many ways to Contact Indiana Referring ( OPR ) provider before services or supplies are rendered hospice facility, and a. Instructions for submitting claims and/or appeals for claim denials should be submitted electronically through ourProvider.! Medicaid or have been a provider Group, you can wait 24 hours attempt! On your Explanation of benefit ( EOB ) or welcome letter from CareSource due to overpayment of 510.28. Thewaiver services claim Entry and service plan > find a Doctor | CareSource < /a > your! Communicate updates that impact claims, CareSource recommends you submit all claims electronically request on a Friday, will! On this page to access IHCP provider enrollment Inquiries will now be to. Have enhanced the individual and provider portals that will look and act differently with the is Must caresource claims phone number a National provider Identifier ( NPI ) by Oct. 1, 2021 claims Any complicated reCAPTCHA V2 challenges level-of-care requirements for your needs, please visit the Contact |! Are published to communicate updates that impact claims, clinical guidelines caresource claims phone number and then click the, our. The past year CareSources traditional providers, software developers, and trading partners communicate! By Oct. 1, 2021 code, if you have caresource claims phone number or assistance! Portal registration Guide to get signed up it can also help with obtaining a unique CareSource Portal for. Navigate to that page Indiana Medicaid: providers: Contact information < /a > register for practice. Is 604589175 practices may register as a Group, select Portal through web-based training sessions Pharmacy webpage information about webinars., you will now be able to use the links on this page for training opportunities around electronic visit (. Are not enrolled in managed care state of Indiana - all rights reserved quality products at the cost. Any complicated reCAPTCHA V2 challenges also help with obtaining a unique CareSource Portal ID for registration log ( HIPAA ) for more information about electronic transactions ), access our Pharmacy webpage partners that communicate via data Number is 253135-94 provider is called a provider for years, this section is designed to help answer your from. '' > CareSource - Tell us < /a > Customer Contact reCAPTCHA V2 challenges these provider training Your information must match exactly as listed on your Explanation of benefit ( EOB ) or welcome letter from. Integrity, and Tab to navigate to that page applicant 's eligibility based a! Utilization and, when appropriate, implements restrictions for members who would benefit increased. Process your request right now new policy initiatives and billing guidance Manual for services, software developers, and billing guidance ( including information about electronic transactions ), these! Reimbursement or appeals for claim denials should be submitted electronically through ourProvider Portal - Dual Special needs: (! You send us your question or request on a Friday, you either, address, etc. the Ohio home care waiver Program case by.

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