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About
https://www.caresource.com/about-caresource-passe/CareSource® Erhardt Preitauer, President & CEO CareSource is nationally recognized for leading the industry in providing member-centric health care coverage. The company’s managed care business model was founded in 1989...
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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...Enrollee Handbook Georgia Pathways to Coverage Member Handbook New Member Kit New Member Booklet Planning for Healthy Babies Member Booklet Non-Discrimination Notice Provider Directory The most up-to-date list of providers...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...and C ( English | Spanish) OTC Drug, Supplements, and Contraception Formularies – CareSource follows the state’s OTC, supplements and contraception formularies. For the most updated coverage of these products,...
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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/...final adverse determination notice) for clinical denials by contacting CareSource and for coverage denials by contacting the Kentucky Department of Insurance. You must ask for an external review within 120...
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Contact Us
https://www.caresource.com/providers/contact-us/Provider Services Provider Services Commonwealth Care Alliance® (CCA): 1-866-420-9332 Weekdays, excluding Thursday, 8 a.m. to 5 p.m., Eastern Time (ET) and Thursdays, 8:30 a.m. to 5 p.m., Eastern Time (ET)...
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HIPAA Privacy Practices - Indiana Marketplace
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-indiana-marketplace/...to use genetic information to decide whether we will give you coverage. We cannot use it to decide the price of that coverage. Example: We may use your information to...
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Rights & Responsibilities
https://www.caresource.com/plan-documents/rights-responsibilities/...on any appropriate or medically necessary treatment options for your condition, regardless of cost or benefit coverage. To be able to take part in decisions about your health care unless...
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Drug Transition Policy
https://www.caresource.com/benefits-services/pharmacy/drug-transition-policy/...of your membership and your medication is not on your new plan’s covered drug list (formulary) or coverage is limited in some way, such as prior authorization, step therapy, or...
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Behavioral Health Carve-In
https://www.caresource.com/providers/education/patient-care/behavioral-health-carve-in/...Code rule 5160-43-02. In addition to full Medicaid coverage, individuals enrolled in the SRS program have access to these new services: Individualized Placement and Support-Supported Employment (IPS-SE) and Peer Recovery...
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Healthy Indiana Plan (HIP) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hip-benefits/Words to know on this page: Income – This is the wages or earnings you earn yearly. Plan – This is the health coverage you get through CareSource. The Healthy...
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