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ARP Special Edition Broker Newsletter
https://www.caresource.com/producers/tools-resources/newsletters/arp-special-edition-broker-newsletter/With President Biden’s signing of the American Rescue Plan Act, there are some changes to the Marketplace program that are important for you to know. Summary Many Marketplace members will...
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Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/prior-authorization/...denial within 14 days. Your request must be approved before you get treatment or services. If you’re not approved, you may have to pay for the entire cost of your...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...System (OMES) Provider Network Management (PNM) module, which will reduce administrative burden on providers. Also, the Single Pharmacy Benefit Manager (SPBM) will begin providing pharmacy services across all managed care...
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...provider’s office staff not treating you fairly. Not being satisfied with the quality of care you received. A partial approval to cover a service. A service payment denial. A surprise...
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Enhanced Benefits
https://www.caresource.com/plans/mycare-snp/benefits-services/enhanced-benefits/...wellness activities. Learn more about rewards. Dental, Vision and Hearing Services You have dental, vision and hearing benefits to use! Learn more about using these benefits. Fitness Benefits You have...
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Benefits & Services
https://www.caresource.com/plans/mycare-snp/benefits-services/...drugs Enhanced transportation Basic Transportation Dental coverage for oral exam and cleaning, fluoride treatments, plus implants Dental coverage for oral exam and cleaning $287 each month for a Healthy Benefits+...
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Health Savings Accounts and HSA Bank
https://www.caresource.com/plans/marketplace/plan-documents/health-savings-accounts-and-hsa-bank/...are used to pay for IRS-qualified medical expenses such as services applied to your deductible, dental care, vision expenses and more. Who can get an HSA? Any eligible individual that:...
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HIPAA Privacy Practices - Ohio Medicaid
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-ohio-medicaid/...health information as we pay for your health care. Example: We share information about you with your dental plan to arrange payment for your dental work. How else can we...
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HIPAA Privacy Practices - Indiana Marketplace
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-indiana-marketplace/...health information as we pay for your health care. Example: We share information about you with your dental plan to arrange payment for your dental work. How else can we...
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HIPAA Privacy Practices - Kentucky Marketplace
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky-marketplace/...health information as we pay for your health care. Example: We share information about you with your dental plan to arrange payment for your dental work. How else can we...
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