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Forms
https://www.caresource.com/providers/tools-resources/forms/...prior authorization to prescribe specialty pharmacy medications, as outlined in the Formulary. Medical Prior Authorization Forms Indiana Provider Medical Prior Authorization Request Form Submit this this form for medical Prior...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/As an entity that offers Medicaid and Medicare coverage, CareSource® is required to comply with certain provisions of the Deficit Reduction Act. One such provision requires us to provide you...
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Pharmacy
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/...(TTY: 711) to speak with a pharmacist today. We are open Monday through Friday, 8 a.m. to 5 p.m. CareSource covers all medically necessary Medicaid-covered medications. We use a Preferred...
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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/...for your medicines may change. Use the Find a Pharmacy tool to find a pharmacy near you. While we cover all medically necessary Medicaid-covered medications, we use a Preferred Drug...
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Prescription Drug Coverage
https://www.caresource.com/plans/dsnp/pharmacy/drug-coverage/We partner with Express Scripts® to help manage your pharmacy benefit. Prescription Drug Benefits We cover medications under Medicare Part D that help you stay healthy. See your Evidence of...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...on our Plan Documents page. We have more detailed information on these pages: Medicare Advantage Part C Medical Plan Rights Medicare Advantage Part D Prescription Drug Plan Rights Ending Your...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...View Chapter 3 Using the plan for your medical and other covered services in your Evidence of Coverage (EOC) on the Plan Documents page for full information on in-network and...
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/...Drug Rebate Program (MDRP) Coverage Rules – AC Reject Medical Necessity – Off Label Medical Necessity for DAW Medical Necessity for Non-Formulary Medications Multi-ingredient Compound Policy # A B C...
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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/...Medicare You can get a printed copy by calling Medicare at the number listed below. Call Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...of our health plan and the Ohio Department of Medicaid (ODM) as outlined in this manual. Providing 30 days of emergency coverage to any CareSource patient dismissed from the practice....
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