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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...Fill out the Grievances and Appeals form. Mail us a letter. Mail the letter to: CareSource PASSE Attn: Member Grievances P.O. Box 1947 Dayton, OH 45401-1947 Who can ask for...
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Mental Health
https://www.caresource.com/members/education/behavioral-health/...for treatment, we have the resources and services to help you with your needs. Addiction Help Tools & Resources CareSource MyLife (your private CareSource member account) MyHealth (tools and tips...
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Patient Care
https://www.caresource.com/providers/education/patient-care/...that are expected of a CareSource primary care provider. Utilization Management View our utilization management activities including prior authorization, concurrent review, discharge planning and other activities. At CareSource®, everything we...
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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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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...Contact Us If you have questions, please contact CareSource’s Provider Services at 1-800-488-0134. Our hours of operation are Monday through Friday, 8 a.m. to 6 p.m. Eastern time (ET). CareSource®...
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Health and Social Partnerships
https://www.caresource.com/providers/education/health-equity/...the National Culturally & Linguistically Appropriate Standards (CLAS). Learn more about cultural and linguistically appropriate services. The CareSource Cultural Competency Plan outlines our commitment to providing culturally-competent services to our...
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Diabetes
https://www.caresource.com/plans/marketplace/diabetes/...members enrolled in a CareSource plan, including our Diabetes Gold or Silver plan receive comprehensive CareSource coverage, including: Teledoc® Telehealth Teladoc Health connects you with licensed doctors, therapists and healthcare...
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Social Media Terms of Use
https://www.caresource.com/about-us/legal/social-media-and-community-terms-of-use/Social Media and Community Terms of Use By accessing any CareSource Management Group® or CareSource (referred to as “CareSource”) Sponsored Social Media and Community Page (the “CareSource Page”), you agree...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...use a Preferred Drug List (PDL), or formulary 2025 | 2026 ( CareSource Dual Advantage | CareSource Dual Advantage Plus), that is updated periodically. To access the most up-to-date information,...
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Medicaid
https://www.caresource.com/plans/medicaid/...them you want to choose CareSource. Switch to CareSource If you were assigned to another managed care plan and want to switch to CareSource, call the Ohio Medicaid hotline, complete...
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