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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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Opioid Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/opioid-toolkit/...use and prevention Safe Medication Management DisposeRx Medication disposal resources and education Naloxone Utilization and education Benefits Behavioral Health Covered Benefits and Services Behavioral health covered services per market and...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...Chapter 9 of the Evidence of Coverage on our Plan Documents page. We have more detailed information on these pages: Medicare Advantage Part C Medical Plan Rights Medicare Advantage Part...
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Renew Your Benefits
https://www.caresource.com/members/tools-resources/renew-benefits/...renew your Medicaid coverage soon. Without Medicaid coverage, you will no longer be eligible for CareSource MyCare Ohio. If you need to renew, you will get a letter or packet...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...consolidated the information below. Member Billing Covered Services Providers may not bill members for any covered services, with the exception of copayments. Non-Covered Services A provider may, upon accepting a...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...easy access to formulary information. You can also determine drug coverage status on the MMIT Formulary, another application that can be downloaded onto your mobile device. Discover if a medication...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...Section 9 your Evidence of Coverage for timeframes for CareSource’s review of appeals and expedited appeals. Internal Appeal of Adverse Benefit Determination A decision we make about your coverage or...
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Medicare and Medicaid with MyCare Ohio
https://www.caresource.com/plans/mycare/benefits-services/medicare-medicaid/Here’s what you get when you have your Medicare and Medicaid with CareSource MyCare Ohio. Dental, Vision, Hearing Dental Vision Hearing Your dental benefits include preventive and comprehensive coverage such...
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Dental Coverage - Medicaid
https://www.caresource.com/plans/medicaid/dental-coverage-medicaid/HAP CareSource members now have dental benefits through Medicaid. These new dental benefits are available to you because you are covered by Medicaid, or Children’s Special Health Care Services. Medicaid...
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Forms
https://www.caresource.com/members/tools-resources/forms/...can request a coverage determination by completing this form. Coverage Redetermination Request Form online or hard copy If you are unsatisfied with the outcome of a coverage determination request, you...
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