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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...button. CareSource now uses Indiana Medicaid’s Statewide Uniform Preferred Drug List (SUPDL), over-the-counter (OTC) drug list, supplements and contraception formularies. The SUPDL and related criteria can be found on the...
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/...regarding CareSource’s member rights and responsibility policy How can I get information sent to me in paper form? You can request information be sent to you in paper form. This...
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Plan Documents
https://www.caresource.com/plans/mycare-snp/plan-documents/...or hard copy. Coverage Redetermination Request Form – If you are unhappy with the result of a coverage determination request, you can file an appeal. Use this redetermination form: online...
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HIPAA Privacy Practices - Kentucky
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky/...that involve your protected data. Medical and Administrative Appeals: Humana – CareSource at times may make decisions about claims for services provided to you. You or your provider may appeal...
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Drug Transition Policy
https://www.caresource.com/plans/dsnp/pharmacy/drug-transition-policy/...in the first 90 days of your membership and your medication is not on our covered drug list (formulary) or coverage is limited in some way, such as prior authorization,...
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RIGHTS & RESPONSIBILITIES
https://www.caresource.com/plans/mihealthlink/plan-documents/rights-responsibilities/...about it. To be able to file an appeal, a grievance (complaint) or state hearing. You have a right to voice complaints or appeals about HAP CareSource MI Health LInk...
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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/...Use the Tell Us form at CareSource.com/MemberInquiry. A UM staff member who calls will say their name, title, and company (CareSource). Staff are available to accept collect calls about UM...
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Rights and Responsibilities
https://www.caresource.com/plans/caresource-passe/plan-documents/rights-responsibilities/...responsibility policy. Be treated with respect and with regard for your dignity and privacy. Be sure your personal information and medical records are kept private. Be free from any form...
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Rights and Responsibilities
https://www.caresource.com/plans/mississippican/rights-and-responsibilities/...responsibility policy. Be treated with respect and with regard for your dignity and privacy. Be sure your personal information and medical records are kept private. Be free from any form...
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Rights and Responsibilities
https://www.caresource.com/plans/mississippi-chip/rights-and-responsibilities/...responsibility policy. Be treated with respect and with regard for your dignity and privacy. Be sure your personal information and medical records are kept private. Be free from any form...
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