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Prior Authorization
https://www.caresource.com/arkansas/prior-authorization/...prior authorization by contacting the CareSource Utilization Management Department via: Provider Portal Mail Phone When submitting an authorization request, please provide the following information: Member/patient name and 11-digit CareSource member...
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School Based Health Programs
https://www.caresource.com/providers/tools-resources/school-based-health-programs/...to contact the School Based Health Administrator within Indiana. You can reach out to your Provider Engagement Specialist to be connected to the School-Based Health Administrator, who can meet with...
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Pharmacy
https://www.caresource.com/plans/mich/benefits-services/pharmacy/...2026 Step Therapy Criteria Prior Authorization Criteria For certain drugs, your prescriber will need to contact us before you can fill your prescription. Prior Authorization Criteria Visit the Plan Documents...
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CareSource Interoperability Overview
https://www.caresource.com/about-us/legal/interoperability-apis/CareSource’s Interoperability APIs are developer-friendly, FHIR-based APIs that allow third-party applications and vendors to connect their systems to CareSource patient and provider information. These Interoperability APIs enable CareSource members to...
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Forms
https://www.caresource.com/providers/tools-resources/forms/We have compiled all of the essential forms in one place for you to utilize. Select the applicable form(s) for reporting, credentialing, claims, and more. Note: You may need to...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here. # A B C D E F G H I...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/CareSource wants to equip you to work with our health plan to provide the best service for our members. The following materials will help familiarize you with the CareSource Ohio...
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Healthy Benefits+
https://www.caresource.com/plans/mycare-snp/benefits-services/enhanced-benefits/healthy-benefits/Get $287 each month for healthy allowances when you use your Healthy Benefits+ card. You must have both your Medicare and Medicaid with CareSource to be eligible for this benefit....
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Frequently Asked Questions
https://www.caresource.com/producers/tools-resources/frequently-asked-questions/ -
Farm Stress Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/farm-stress-toolkit/We are committed to addressing farm stress in the agricultural community. We recognize the important role that providers can play in helping to reduce stigma, identify stress and mental health...
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