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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...information that will make it easier for you to do business with us and assist you in serving our members. Quick Reference Guides Below you will find quick reference guides...
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During Pregnancy
https://www.caresource.com/members/education/pregnancy/during-pregnancy/...or sneezing Are you pregnant and dealing with substance use disorder? If you are, we’re here to help you. Call the CareSource Substance Use Hotline at 1-833-674-643 (TTY: 711). Eat...
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Postpartum Care
https://www.caresource.com/members/education/pregnancy/postpartum-care/The first six weeks after having your baby is called the “postpartum period.” This can be a joyous time for you, as you meet and bond with your new baby....
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Healthy Indiana Plan (HIP) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hip-benefits/...Yes Yes Yes Mental Health and Substance Use Services HIP Plus HIP Basic Copays may apply HIP Maternity HIP State Plus HIP State Basic Copays may apply Prior Authorization Needed?...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...or use an already authorized trading partner or clearinghouse. View instructions to enroll as a trading partner to send and receive EDI transactions to and from ODM-EDI. Provider Network Management...
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North Carolina
https://www.caresource.com/north-carolina/...the New Health Partner Contract Form. If you have any questions about your application, please contact us at NCcontracting@caresource.com. Your Application Status Once you submit your application, you will receive...
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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/...Dental Services Routine dental checkups and dental cleanings are covered under Hoosier Healthwise, HIP Plus, HIP State Plus, and HIP State Basic and HIP Maternity plans. You can find a...
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Pharmacy
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/...find out if a drug is covered by using our Preferred Drug List (PDL). Look up your prescriptions using the CareSource Find my Prescriptions Tool. See what medications are covered,...
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Early and Periodic Screening Diagnostic and Treatment (EPSDT)
https://www.caresource.com/plans/medicaid/benefits-services/early-periodic-screening-diagnostic-treatment/...can find any health problems early and treat them, or make a referral to a specialist for treatment, before the problem gets more serious. Some services may require a referral...
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Pharmacy
https://www.caresource.com/benefits-services/pharmacy/...– For certain drugs, your doctor will need to contact us before you can fill your prescription. 2025 Prior Authorization Criteria Last updated on 12/01/2025 Step Therapy Criteria – For...
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