Programs
Program 1 [2020]
CareSource, as a supporting organization, provides strategic oversight to CareSource Ohio Inc., CareSource Indiana Inc., The CareSource Foundation, CareSource Kentucky Co, CareSource Georgia Co, CareSource West Virginia Co, and CareSource Life Services Co (The "CareSource Group"). CareSource provides committee oversight regarding quality of care measures, Healthcare Effectiveness Data and Information Set, National Committee for Quality Assurance, as well as State and Federal quality measures. CareSource's governance oversight also includes financial review, compliance with all applicable healthcare laws, cybersecurity surveillance, and enterprise risk management functions. In March 2012, CareSource signed an Alliance Agreement with Humana, Inc., to jointly participate in state bid opportunities for Medicaid and provide coverage for people who qualify for Medicaid in the Commonwealth of Kentucky. As of December 31, 2019, there were 148,485 Medicaid Members in a Humana - CareSource Medicaid plan. CareSource has a commendable accreditation for this Medicaid plan. The current term of the Medicaid contract with the Commonwealth of Kentucky ended in June 2019 but contained one (1) additional six (6) month renewal period that was mutually agreed upon. CareSource Reinsurance LLC ("CSRE"), a single member LLC of CareSource, continued doing business with Humana in the same capacity through 2019. Effective December 31, 2019, the Company ended its relationship with Humana and will not continue servicing members in the Kentucky Medicaid program. CSRE will continue to process claims runout for effective dates of service December 31, 2019 and prior through December 31, 2022 as agreed upon with Humana. The CareSource Group's primary activity for over 30 years has been providing nonprofit Medicaid health maintenance organization ("HMO") services. The CareSource Group started its first Medicaid HMO program in Ohio in 1989. This plan is now one of the largest Medicaid managed care plans in the country. The CareSource Group has expanded beyond Ohio to operate Medicaid plans in various other states, including Georgia and Indiana. CareSource holds a Third-Party Administrator ("TPA") license in four states. In total, the CareSource Group plans facilitate access to health care to approximately 2,000,000 low income individuals. The CareSource Group refers to these individuals as "Members." Additionally, over the last several years, the CareSource Group's leadership began to recognize that despite health care reform, many low-income individuals remained uninsured or underinsured. They also realized that the CareSource Group was uniquely positioned to address this problem due to its extensive experience providing managed care to low income individuals. The CareSource Group therefore concluded that it was imperative that it expand its operations to states with significant low-income populations which would benefit from the organization's charitable approach to health care. As a result, the CareSource Group expanded to operate qualified plans on the health care exchange in Kentucky and West Virginia, as well as exclusively through several of its other CareSource-related entities, all of which are exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code ("IRC"). As with its Medicaid HMO plans, the CareSource Group refers to individuals participating in its health care exchange plans as "Members." Through all of its activities, the CareSource Group strives to make a lasting difference in its Members' lives by improving their health and overall well-being. It firmly adheres to this mission by providing services to Members (both of its Medicaid HMO plans and health care exchange plans) that go beyond the delivery of medical benefits and which remove poverty as a barrier to achieving good health and independence. The CareSource Group also believes that it can improve the health of its Members through educational initiatives. Education empowers Members to take on greater personal responsibility for their own health and the health of their family by encouraging healthy decisions and preventative care. For example, the CareSource Group prepares a personalized wellness plan for each of its Members. Moreover, Members who are pregnant or have a child under the age of one can sign-up for Text4Babies. Members participating in Text4Babies receive three text messages per week that provide advice on proper preventative care. Other educational efforts include a childhood obesity management program for children between the ages of five and 17 years old. At CareSource, we know that social determinants of health are key drivers of healthcare access, utilization, and outcomes. As such, social determinants of health require full integration into the treatment of Members' physical health. What sets us apart from traditional managed care is our record of accomplishments and results in integrating these non-clinical aspects into every interaction we have with our Members. The CareSource mission is to make a lasting difference in Members' lives by improving their health and well-being. This has catalyzed our commitment to develop programs that target our Members' social needs - nutrition, transportation, housing, jobs, social connectedness, communication, access, and more. We shape our benefits to integrate social and economic solutions seamlessly into our Members' care to have maximum impact on their social support, stability, health, and wellness. CareSource Life Services is the umbrella framework through which we address social determinants of health including hunger, housing, social stability, workforce development, and health equity. Within CareSource Life Services, our CareSource JobConnect program addresses the education and employment barriers that many of our Members face and that impede their path to self-sufficiency. CareSource JobConnectT is widely recognized within the managed care industry for reducing dependence on governmental services by providing Members with life coaching, access to community-based resources, and support setting and reaching their professional and educational goals. CareSource Life Services also participates in the Jobs-Plus Program ("Jobs-Plus"). The Jobs-Plus program was conceived in the mid-1990s by the Department of Housing and Urban Development ("HUD") in cooperation with various private charitable organizations. Jobs-Plus is based on the concept of saturating low-income housing developments with information, services, and incentives to encourage residents to obtain employment. Beginning in 2016, as part of the Life Services program, CareSource was party to five grants awarded at the federal and county levels: (1) The Dayton Metropolitan Housing Authority, dba Greater Dayton Premier Management ("GDPM"), was the recipient of a multi-million dollar grant from HUD. GDPM chose CareSource as the subcontractor to implement JobConnect in the DeSoto Bass and Hilltop low-income housing communities located in Dayton, Ohio. CareSource began offering JobConnect in these communities in 2017. As the subcontractor, CareSource was awarded $936,000 to implement JobConnect. The JobsPlus program began April 1, 2017 and continued through June 30, 2020; (2) On April 1, 2018, the Workforce Development Board of Central Ohio, in conjunction with the Westside Community Fund and CareSource, entered into another year long contract for $89,000 to serve the neighborhoods of West Columbus and is designed to facilitate a job readiness and retention program for the unemployed and underemployed. This contract ended on April 30, 2019; (3) In January, 2018, CareSource entered into a yearlong contract for $150,000 with the Montgomery County Alcohol, Drug Addiction and Mental Health Services Board to serve Montgomery County Ohio residents who are also receiving substance abuse and/or mental health services by opting them into the JobConnect program. This grant was renewed for calendar year 2019; and (4) In November 2018, CareSource entered into a yearlong contract for $20,000 with CityWide, a non-profit organization with a mission to strengthen Dayton through strategic economic and community development. CityWide will serve as a consultant for capacity building in affordable housing, strategic partnerships, and research and analysis. This contract ended on December 31, 2019. Additionally, in November 2017 CareSource entered into a grant agreement with JobsOhio in order to invest in redevelopment activities, fixed-assets, infrastructure, and workforce training associated with growth of the organization in downtown Dayton, Ohio. JobsOhio was formed under the laws of the state of Ohio and was established to encourage business development in the State. JobsOhio was incorporated on July 5, 2011, as a nonprofit corporation, to promote economic development, job creation, job retention, job training, and the recruitment of business to Ohio. JobsOhio is governeGeographiesNot indicatedDatesJan 1, 2020 – Dec 31, 2020Source990No causes providedNo populations provided–$1BCareSource Supporting Organizations
CareSource, as a supporting organization under section 509(a)(3) of the Internal Revenue Code, provides strategic oversight to its supported organizations, CareSource Ohio, Inc., CareSource Indiana, Inc., CareSource Kentucky Co, CareSource Georgia Co., CareSource West Virginia Co., and CareSource Life Services Co. (The "CareSource Public Charities"). These supported organizations are exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. (Continued on Schedule O)GeographiesNot indicatedDatesJan 1, 2023 – Dec 31, 2023Source990No causes providedNo populations provided–$1.4B
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