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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/...Update For 2025, CareSource Marketplace Plans feature the following benefits: TruHearing® provider network for hearing services is included with all plans. EyeMed® provider network for vision services on all plans...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...the main activities performed by providers beginning Oct. 1, 2022. We encourage providers to review the Provider Journey Maps to understand from a high-level, how common activities are performed. Provider...
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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/...monitored, and members are assigned designated providers. GA LIP members must get their medicines filled at one pharmacy and use their primary care provider for medical care. Helpful terms to...
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Drug Formulary Changes
https://www.caresource.com/providers/tools-resources/drug-formulary/drug-formulary-changes/...PDL Changes Effective June 1, 2023 05/01/2023 Provider Summary of PDL Changes Effective April 1, 2023 03/01/2023 Provider Summary of PDL Changes Effective January 1, 2023 12/01/2022 Provider Summary of...
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Rights & Responsibilities
https://www.caresource.com/plan-documents/rights-responsibilities/...services from a qualified provider in our network. If a qualified provider is not able to see you, we must set up a visit with a provider not in our...
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Rights & Responsibilities
https://www.caresource.com/plans/mycare-snp/plan-documents/rights-responsibilities/...services from a qualified provider in our network. If a qualified provider is not able to see you, we must set up a visit with a provider not in our...
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Early and Periodic Screening Diagnostic and Treatment (EPSDT)
https://www.caresource.com/plans/medicaid/benefits-services/early-periodic-screening-diagnostic-treatment/...with a primary care provider (PCP), specialist, dentist, hearing, vision, and other CareSource providers to diagnose and treat problems or issues Inpatient or outpatient hospital care Clinic visits Prescription drugs...
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Clinical Innovation
https://www.caresource.com/providers/education/patient-care/pharmacy/clinical-innovation/...email rDUR@CareSource.com with the subject line “Clinical Programs Inquiry”. To see your patients medical and prescription claims data, please visit our CareSource provider portal: Provider Portal The Clinical Innovation Team...
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Vision
https://www.caresource.com/providers/education/patient-care/vision/...Our vision providers can access the following tools to help them provide efficient and quality care: Provider Portal Register for the Provider Portal to access authorization, claims submissions and much...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...PDL. You can check the list of drug formulary changes to see if any of these changes affect the medications you prescribe. Additional Resources Provider Services: 1-833-230-2100 Provider Manual We...
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