News About a CareSource Network Change

CareSource Patients

UPDATED Frequently Asked Questions

What do I need to know about my CareSource coverage at Cleveland Clinic?

Care Source has agreed to extend access to Cleveland Clinic for CareSource Medicaid and MyCare members through Nov. 30, 2017. Both organizations are working toward a long-term agreement and are fully committed to ensuring Medicaid patients have access to the highest level of healthcare. Below are some frequently asked questions to help you understand these changes:

Q: What does the extension with CareSource mean?
A: Cleveland Clinic and CareSource have extended your coverage of care at Cleveland Clinic through Nov. 30, 2017. This extension allows you to come to Cleveland Clinic without any disruption in your care through the end of November. During this time, both organizations will be working together with the goal of finalizing a long-term relationship.

Q: Does this change affect my care at Neighborhood Family Practice?
A: No. Neighborhood Family Practice has its own contract with CareSource. You can continue to come to any of our five community health center locations for the same high quality care and coverage you’ve always received from NFP.

Q: If there is a change in my coverage, when will it start?
A: Beginning Dec. 1, 2017, your care at Cleveland Clinic may need to be pre-approved by CareSource for it to be covered if a long-term contract is not finalized.

Q: What if I already changed my Medicaid health plan during Ohio’s open enrollment?
A: You don’t need to do anything right now. Both organizations have agreed to notify affected patients by mid-October if they do not think they will reach agreement. This will give patients time to consider their options because you have until Nov. 30, 2017 to contact the Ohio Department of Medicaid to elect a different Medicaid plan. Also, if you have been a member of your current plan for three months or less, you can request a change by submitting a request to the Ohio Department of Medicaid. For more information, contact the Ohio Medicaid Consumer Hotline at:

800.324.8680
ohiomh.com/MemberPortal/Longin.aspx

Q: What if I have an appointment scheduled at Cleveland Clinic after Nov. 30, 2017?
A: You do not need to do anything now, but if you are concerned or have questions, please contact a Cleveland Clinic Patient Financial Advocate by calling 855.831.1284 or emailing [email protected]. Both organizations have agreed to notify patients by mid-October if they do not think an agreement will be reached. This will give patients time to consider their options.
Cleveland Clinic can work with CareSource to request pre-approval for coverage for your appointment. They can also review the appointment request with your NFP provider to determine how best to care for you.

Q: If I cancelled my appointment, can I reschedule during the extension? Can I schedule a new appointment at Cleveland Clinic during the extension?
A: Yes. You can contact Cleveland Clinic at 866.320.4573 to schedule an appointment.

Q: What Medicaid plans does Cleveland Clinic contract with?
A: Cleveland Clinic works with all the Medicaid providers in the State of Ohio: