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Your HDHP Preventive Plan
https://www.caresource.com/plans/marketplace/plan-documents/your-hdhp-preventive-silver-plan/...finding an in-network provider or pharmacy. * Your coverage includes a preventive drug benefit. This means that preventive drugs (medications to help prevent chronic conditions and illnesses) are covered outside...
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Forms
https://www.caresource.com/providers/tools-resources/forms/...ECHO Health Enrollment Submit this form to enroll with ECHO Health, our electronic funds transfer partner. Itemized Bill Cover Sheet Submit this cover sheet and itemized statement for high dollar...
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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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Contact Us
https://www.caresource.com/members/contact-us/...coverage. You will find: Details about your Benefits and Services. Plan Documents, such as your member handbook and evidence of coverage online for quick access. Information about our Care Management...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Arkansas Medicaid ID Post-Stabilization Services Prior authorization is not required for coverage of post-stabilization services when these services are provided in any emergency department or for services in an observation...
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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/...Coverage managed care plan. This is allowed: During the first 90 days after you sign up or are sent notice of signing up Every 12 months from your date of...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...appeal to deny, limit, reduce, suspend, or terminate a covered service for lack of medical necessity may request an External Medical Review with Permedion. Services denied, limited, reduced, suspended, or...
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Pharmacy
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/...coverage Your HAP CareSource plan covers drugs. There are no copays for covered drugs. You must use a pharmacy in the network to fill your prescriptions. You can find a...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/...and procedures for orthodontia services. CareSource North Carolina Co® does not provide coverage for routine dental services for plan members. Members looking for dental coverage should work with their agent...
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Diabetes
https://www.caresource.com/plans/marketplace/diabetes/...after December 15 to enroll, the coverage you select will not become effective until February 1. If you are auto-enrolled, you will have your current or pre-selected coverage for the...
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