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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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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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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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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/...real-time transactions at no charge. You can use the Availity Portal Registration Guide to get signed up. Itemized Bill Cover Sheet Submit this cover sheet and itemized statement for high...
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MyCare Ohio
https://www.caresource.com/plans/mycare/...of what you get when you have: MyCare Ohio (MEDICARE + MEDICAID) MyCare Ohio (Medicaid Only) Combined Medicare and Medicaid plan with extra benefits and coordination for simplified planning. Medicaid-only...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/...Testing Dry Eye Syndrome Testing Durable Medical Equipment (DME) Modifiers Durable Medical Equipment (DME) Modifiers Durable Medical Equipment (DME) Modifiers E Emergency Department Electrocardiogram (EKG/ECG) and Imaging Interpretation Emergency Department...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...Medicare and Medicaid Services (CMS) Meeting the requirements of the CareSource Indiana contract with the Office of Medicaid Policy and Planning Establishing safe clinical practices throughout the network of providers...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/CareSource covers all medically necessary Medicaid-covered drugs at many pharmacies. CareSource also covers many commonly used over-the-counter (OTC) medications with a written prescription from your doctor. CareSource uses Preferred Drug...
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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/Marketplace plans have two types of costs: premium and the cost for care. Premium is the monthly payment you make to keep your coverage and all the benefits and services...
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