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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...Members who: Sell prescribed drugs or try to get controlled drugs from more than one doctor or drugstore Change or forge prescriptions Use pain medications they do not need Share...
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Pharmacy
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/...will: Help you safely use your drugs. Help your doctors and other caregivers work better together. Help you learn about your drugs and the right way to use them. Help...
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Behavioral Health
https://www.caresource.com/plans/medicaid/benefits-services/behavioral-health/...You don’t need a doctor’s referral or prior approval for most outpatient treatment. CareSource wants to get you on the path to recovery. Are You Feeling Depressed or Hopeless? GET...
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Forms
https://www.caresource.com/members/tools-resources/forms/...the redetermination form. Appointment of Representative Form English | Spanish An appointed representative is a relative, friend, advocate, doctor or other person authorized to act on your behalf in filing...
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Care & Disease Management
https://www.caresource.com/members/education/care-disease-management/...If your doctor asks us to. If you ask for a phone call. If our Care Management staff feels their services would be helpful to you or your family. Our...
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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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Care & Disease Management
https://www.caresource.com/plans/marketplace/benefits-services/care-disease-management/...community health workers who can work with you one-on-one to help coordinate your health and non-health care needs. They can contact you by phone: If your doctor requests one to...
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Quick Start Steps for New Members
https://www.caresource.com/members/tools-resources/quick-start-guide/quick-start-steps/...from providers that are not part of our network. You can use the Find a Doctor/Provider search tool to find: Your primary care provider (PCP) Your primary dental provider (PDP)...
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Referrals & Prior Authorization
https://www.caresource.com/plans/marketplace/benefits-services/referrals-prior-authorization/...You can search for participating health partners using the Find a Doctor/ProviderFind a Doctor/ProviderFind a Doctor/ProviderFind a Doctor/ProviderFind a Doctor/ProviderFind a Doctor/Provider Find a Doctor/Provider tool and schedule an appointment...
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Substance Use Disorder
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/substance-use-disorder/...Find a Doctor/Provider tool to find providers like family therapists, substance use counselors, social workers, community mental health centers and more. If you don’t see the help you need, call...
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