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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...CareSource you have the following rights and responsibilities. These are also listed in your Member Handbook. You have the right to: Receive information about HAP CareSource, our services, our network...
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Drug Transition Policy
https://www.caresource.com/plans/dsnp/pharmacy/drug-transition-policy/...step therapy, or quantity limit. If CareSource dropped your medication from the formulary or added coverage restrictions for the new calendar year, such as prior authorization or step therapy, we...
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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/...Use the Tell Us form at CareSource.com/MemberInquiry. A UM staff member who calls will say their name, title, and company (CareSource). Staff are available to accept collect calls about UM...
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Pharmacy
https://www.caresource.com/plans/mycare-snp/benefits-services/pharmacy/...you get both your Medicare and Medicaid benefits from CareSource, the formulary ( English | Spanish) is the entire list of Part D drugs covered by your Part D plan....
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Health Care Terms
https://www.caresource.com/members/education/health-care-terms/...Routine care like screenings and exams. You get this care to help stop a health problem from occurring. Prior Authorization Approval that may be needed before you get a service....
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Vision
https://www.caresource.com/providers/education/patient-care/vision/...To become a CareSource Military & Veterans vision provider, fill out the New Health Partner Contract Form. Contact Us CareSource Military & Veterans Provider Services: 1-833-230-2170, available Monday through Friday,...
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Prescription Drug Coverage
https://www.caresource.com/plans/dsnp/pharmacy/drug-coverage/...limitations. This may include requiring a prior authorization, step therapy, or quantity limit. The prior authorization requirements for your medicines may change. Questions? Call Member Services. The comprehensive formulary, pharmacy...
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Drug Transition Policy
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-transition-policy/...covers a one-time, temporary supply of a non-formulary drug. CareSource extends up to a one-month transition supply of medication (unless the prescription is written for fewer days) to members for...
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Collaborative Care Model (CoCM) Initiative
https://www.caresource.com/providers/education/patient-care/behavioral-health/about-the-collaborative-care-model-cocm-initiative/...see Dr. Valerie Houseknecht, CareSource Behavioral Health Medical Director, discuss the CoCM. CareSource provides reimbursement for a model of integrated behavioral health care known as the Collaborative Care Model (CoCM)....
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Health, Safety & Welfare
https://www.caresource.com/providers/education/patient-care/health-safety-welfare/...submit reports of incidents/serious occurrences utilizing the [link Arkansas PASSE Incident Report Form] and submit it via secure email to CareSource PASSE: Incident.Reporting@CareSourcePASSE.com. Mandated Reporters The Arkansas Child Maltreatment Act...
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CareSource authorization form