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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...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 D Prescription Drug Plan...
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Plans & Services
https://www.caresource.com/producers/plans-services/...the Georgia Exchange since 2020. Visit our Marketplace plan pages to learn more about our plans. To easily find benefit details on the plans we offer, visit the plan documents...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/Quick References COVID-19 information Pharmacy information, including our Preferred Drug Lists (PDLs) Medical, pharmacy, reimbursement and administrative policies We strive to make partnering with us simple. We’re aware things may...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/Our Quality Improvement (QI) Program is designed to ensure the organization delivers on all aspects of care delivery for beneficiaries based on their unique needs. We monitor, analyze and identify...
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Member Overview
https://www.caresource.com/members/...Explore helpful tools like Find a Doctor, view plan documents and more. Most Popular Find A Doctor Plan Documents Pharmacy Benefits & Services Benefits & Services See what is covered...
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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/If you are not happy with CareSource, let us know. We want to make it right. You have the right to change to a different Georgia Families® Georgia Pathways to...
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Contact Us
https://www.caresource.com/members/contact-us/...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 Program, designed...
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Comprehensive Formulary
https://www.caresource.com/plans/dsnp/pharmacy/drug-formulary/...Find My Prescription tool. Visit the Plan Documents page to view important documents about prescription drug benefits. Formulary Changes We feel it is important that you have continued access to...
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Part C Medical Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-c-medical-plan-rights/...in Chapter 9, section 4 on Plan Documents page. How to Request an Organization Determination You have these options: Phone: Call Member Services at 1-833-230-2020 (TTY: 1-833-711-4711 or 711). Mail:...
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Plans
https://www.caresource.com/plans/...their healthy habits. Choose CareSource as your Medicaid plan. Access Plan Documents MYCARE OHIO (HMO D-SNP) MYCARE OHIO (HMO D-SNP) With CareSource MyCare Ohio (HMO D-SNP), you get a fully...
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DOCUMENTS