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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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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/...please see your Evidence of Coverage and Member Handbook, found on the Plan Documents page. You may also call Member Services. We are happy to help. Call for additional information:...
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CareSource MyLife FAQs
https://www.caresource.com/about-us/caresource-mylife/caresource-mylife-faqs/Have more questions? Contact Member Services. We are here to help....
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Behavioral Health
https://www.caresource.com/plans/medicaid/benefits-services/behavioral-health/...means that you can get counseling and addiction services from your CareSource health plan. CareSource Covers Services to Help You with Mental Health or Addiction Whether it’s depression, anxiety, alcohol...
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/...address. Contact your PCP after going to an Urgent Care or after medical or behavioral health care. Let CareSource and the county caseworker know if you are covered by other...
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Make A Payment
https://www.caresource.com/members/tools-resources/make-a-payment/...Birth or adoption of a child Other changes to your household make up Gaining or losing eligibility for government sponsored or employer sponsored health care coverage. Moving to another address...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...to submit a request for any additional services for review of medical necessity outside these dates of service prior to transition. Yes, CareSource will need to be contacted via phone...
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Medicaid
https://www.caresource.com/plans/medicaid/...prepare you for success. Your Life Coach will connect with you on an individual level and can address needs beyond physical health to include the home, workplace, and community. Learn...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...for the additional medication to be received with no additional dispensing fees Splitting prescriptions into two orders to seek higher reimbursement Dispensing expired, fake, diluted, tainted or illegal drugs Billing...
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Drug Transition Policy
https://www.caresource.com/plans/dsnp/pharmacy/drug-transition-policy/...step therapy, or quantity limit. If CareSource dropped your medication from the formulary or added coverage restrictions for the new calendar year, such as prior authorization or step therapy, we...
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