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Behavioral Health Carve-In
https://www.caresource.com/providers/education/patient-care/behavioral-health-carve-in/...about benefits, claims, member eligibility and more. Call CareSource at 1-800-488-0134 if you have questions or concerns. We are available Monday to Friday, 7 a.m. to 8 p.m. Additional Resources...
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HIPAA Privacy Practices - Kentucky
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky/...care or with payment for your care if necessary. Member and Provider Claims Services Department: Humana – CareSource Member Services and Provider Claim Services will answer provider and member calls...
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Behavioral Health
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/...about what your plan covers or how to find a provider, call Member Services at the phone number on your CareSource ID card. We are here to help you. Need...
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Drug Transition Policy
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-transition-policy/...less if your prescription is written for fewer days. This is in addition to the above long-term care transition supply. Long-Term Care Facility Members Long-term care facility members receive up...
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Care & Disease Management
https://www.caresource.com/plans/medicaid/benefits-services/care-disease-management/...center or the emergency room. For more information about Care Management or to talk with a staff member, call Member Services at the number below. Disease Management CareSource offers disease...
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Make A Payment
https://www.caresource.com/members/tools-resources/make-a-payment/All CareSource Marketplace members have a monthly premium payment. Topics: What is a premium? What is the Advance Premium Tax Credit (APTC)? When are invoices mailed? What is the Grace...
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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/...Efficiency (Getting the concern addressed quickly) Appropriateness of health care services Treatment that our members get Call us if you have questions about how we review your care. Call Member...
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Comprehensive Formulary
https://www.caresource.com/plans/dsnp/pharmacy/drug-formulary/...Coverage Requirements For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. This ensures our members use these drugs in a safe way. The types...
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Part C Medical Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-c-medical-plan-rights/...can also give you the total number of grievances, appeals and exceptions filed with our plans. To get this data, please call Member Services. Request Status Call Member Services for...
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Rights & Responsibilities
https://www.caresource.com/plans/mycare/plan-documents/rights-responsibilities/Member Rights As a member of our health plan, you have the following rights: To receive information about CareSource MyCare Ohio, our services, our practitioners and providers and member rights...
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