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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...Member Benefits As a HAP CareSource provider, you can easily access members’ benefits to best serve their needs. Prior Authorization Pharmacy Quality Improvement HAP CareSource continually assesses the quality of...
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Opioid Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/opioid-toolkit/...factors for high-risk substance use and prevention Safe Medication Management DisposeRx – Medication disposal resources and education Naloxone – Utilization and education Benefits Behavioral Health Covered Benefits and Services –...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/These medical policies apply to the CareSource plan. Medical policies offer guidance on determination of medical necessity and appropriateness of care for approved benefits. Benefit determinations and coverage decisions are...
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MA-Dual Special Needs
https://www.caresource.com/plans/dsnp/...D-SNP) $240 Healthy Benefits+ Monthly Allowance LIS Cost Sharing for all Part D covered drugs* CareSource Dual Advantage Plus(TM) (HMO D-SNP) $196 Healthy Benefits+ Monthly Allowance $0 Copay for Tier...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...are happy with your CareSource benefits and services. If you are dissatisfied with a provider, disagree with a decision we have made, or are you are unhappy with something about...
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Contact Us
https://www.caresource.com/providers/contact-us/...OH 45401-1947 You can also do business with us online any time day or night. Visit our Provider Portal to check claims, prior authorization status, member eligibility, coordination of benefits...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...a service. You get a surprise bill from a provider. These types of service include quality and standards of care, benefits, or denial of benefits. To file a grievance, you...
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Flu Shot
https://www.caresource.com/members/education/preventive-care/flu-shot/...benefits of getting your flu shot. How does the flu shot work? A flu shot works by telling your body to create antibodies. These antibodies are developed about two weeks...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...member benefits, and more to make it easier for you to do business with us. Note: To access, you may need to download Adobe Acrobat Reader. VIEW THE CARESOURCE PASSE...
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Forms
https://www.caresource.com/members/tools-resources/forms/...for a prescription that should have been covered under your CareSource plan Coverage Determination Request Form online or hard copy If you believe you are entitled to payment or benefits...
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Benefits