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Find a Doctor's Professional Training
https://www.caresource.com/members/tools-resources/where-to-get-care/find-doctors-professional-training/...tool lists specialties, addresses, phone numbers and languages they speak. Our Find A Doctor/Provider tool lists specialties, addresses, phone numbers and languages spoken. Our Find A Doctor/Provider tool lists specialties,...
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Pharmacy Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/pharmacy-policies/...are not all-inclusive of all pharmaceutical products. New policies will be added as new pharmaceutical products become available or as needed. Existing policies are regularly reviewed and updated to reflect...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...documents, click on the link, then choose Resources > Provider Documents > Evidence Based Preferred Drug List. Additionally, CareSource PASSE covers the over the counter (OTC) medications listed in Arkansas...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...services; or Matters involving the contractual relationship between the member and the plan. Additional Help If you have questions about your rights or need help, please refer to the Evidence...
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Rewards
https://www.caresource.com/plans/marketplace/benefits-services/rewards/...MyHealth Rewards program. You can redeem your rewards for gift cards to your favorite stores. You can find additional information about the MyHealth program and track your rewards from the...
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Medication Therapy Management
https://www.caresource.com/members/tools-resources/find-my-prescriptions/medication-therapy-management/...for 2025 Benefit Information? Learn More about 2025 Benefits The Medication Therapy Management (MTM) program can help you learn about your medications, prevent or address medication-related problems, decrease costs, and...
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HIPAA Privacy Practices - Kentucky
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky/...– CareSource. Humana – CareSource then pays your provider for claims they send in. Information sent to Humana – CareSource includes: Your individual information including: name, address, phone number, date...
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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...box to add. Please also include the following documents: Drug Enforcement Administration (DEA) certificate Drug Enforcement Administration (DEA) certificate and/or Controlled Dangerous Substances (CDS) certificate Malpractice insurance face sheet Clinical...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...request an external review. In most cases, you must go through all of the steps in the internal appeal process before you can ask for an external review. Additional Help?...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...of the cost (like the copayments, coinsurance, and deductible) that you would pay if the provider or facility was in-network. Your health plan will pay any additional costs to out-of-network...
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