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Rights and Responsibilities
https://www.caresource.com/plans/caresource-passe/plan-documents/rights-responsibilities/...your life. Be protected in the community. Voice complaints and appeals about CareSource PASSE or the care we provide. Get all written member information from CareSource PASSE: At no cost...
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Rights and Responsibilities
https://www.caresource.com/plans/mississippican/rights-and-responsibilities/...life. Be protected in the community. Voice complaints and appeals about TrueCare or the care we provide. Get all written member information from TrueCare: At no cost to you. In...
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Rights and Responsibilities
https://www.caresource.com/plans/mississippi-chip/rights-and-responsibilities/...life. Be protected in the community. Voice complaints and appeals about TrueCare or the care we provide. Get all written member information from TrueCare: At no cost to you. In...
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HIP Tobacco Use Surcharge
https://www.caresource.com/plans/medicaid/hip-tobacco-use-surcharge/...your state record. The state may also check claims to identify members who use tobacco. Call us to change your tobacco user status. You can also follow the normal appeals...
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In Lieu of Services (ILOS)
https://www.caresource.com/providers/tools-resources/support-services/in-lieu-of-services-ilos/...appeal about the food service, for example, if they are not approved for a food service. Information on how to file a grievance or appeal can be found within the...
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Drug Transition Policy
https://www.caresource.com/plans/dsnp/pharmacy/drug-transition-policy/...an appeal. For questions about a temporary supply, please see your Evidence of Coverage or call Member Services. Return to the Pharmacy Overview In some cases, CareSource must provide a...
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Plan Documents
https://www.caresource.com/plans/dsnp/plan-documents/...Redetermination Request Form online or hard copy – If you are unsatisfied with the outcome of a coverage determination request, you can file an appeal using the redetermination form. Prior...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/CareSource of North Carolina Co.® is committed to maintaining the quality and appropriateness of health care services provided to our members. The Utilization Management department performs all utilization management (UM)...
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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/...ask how care is reviewed. You can ask about: Preservice review Urgent concurrent review Post service review Filing an appeal We do not reward providers or our staff for denying...
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Drug Transition Policy
https://www.caresource.com/plans/mycare-snp/benefits-services/pharmacy/drug-transition-policy/...cover the drug in the way you would like it covered. The plan will review the request and approve or deny. If denied, you may file an appeal. For questions...
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APPEAL