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Substance Use Disorder
https://www.caresource.com/members/education/mental-health/addiction-help/...Medication Medication and therapy can be a highly effective way to treat addiction. Your provider may prescribe medications like buprenorphine/naloxone, Vivitrol, or methadone that help with withdrawal symptoms. Use our...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...Coverage, Schedule of Benefits and Evidence of Coverage (your contract with CareSource). The back of your ID card contains important phone numbers including our vision and fitness benefit partners. Use...
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Dental, Vision & Hearing
https://www.caresource.com/benefits-services__trashed/dental-vision-hearing/...shared with comprehensive coverage Comprehensive Dental (Outside Medicare Covered) Not Covered N/A Covered 30-50% Coinsurance, $1,000 annual limit shared with preventive coverage Vision CareSource has partnered with EyeMed Vision Care®...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...Authorization & Provider Portal Portal providers and/or their delegates should follow Ohio Department of Medicaid’s (ODM) guidelines to submit prior authorization requests and supporting documentation through the Ohio Medicaid PNM...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...has not passed its own false claims statute, there may nevertheless be liability under various Ohio laws regarding false or fraudulent claims with respect to Medicaid/Medicare program expenditures, including: Medicaid...
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Comprehensive Formulary
https://www.caresource.com/plans/dsnp/pharmacy/drug-formulary/...Coverage Requirements For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. This ensures our members use these drugs in a safe way. The types...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...The Ohio Department of Medicaid (ODM) has implemented the OMES to enhance the efficiency of the Next Generation MCOP. The full implementation of the OMES modules is underway, aimed at...
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HIPAA Privacy Practices - Indiana Medicaid
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-indiana-medicaid/...not allowed 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...
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HIPAA Privacy Practices - Georgia Medicaid
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-georgia-medicaid/...you coverage. We cannot use it to decide the price of that coverage. Example: We may use your information to review and improve the quality of health care you and...
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HIPAA Privacy Practices - Ohio Medicaid
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-ohio-medicaid/...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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