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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...Call us to ask if you’re not sure if a service is covered. Services that may need a prior authorization: Prescription medications Dental care (in hospitals and ambulatory surgery centers)...
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Planning for Healthy Babies® (P4HB®)
https://www.caresource.com/plans/planning-for-healthy-babies/...P4HB Family Planning benefits plus: Primary care services, up to five office/outpatient visits per calendar year Limited dental services Management and treatment of chronic diseases Substance abuse treatment such as...
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Additional Services
https://www.caresource.com/plans/mycare/benefits-services/additional-services/...list $500 annual Flex Allowance for dental, vision and hearing services & accessories beyond what the plan already covers Telehealth services via Teladoc© Coordination of Medicare/Medicaid benefits through one point...
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Prescription Search
https://www.caresource.com/members/tools-resources/find-my-prescriptions/prescription-search/...plan. Refer to your CareSource member ID card to identify your plan. Formulary links are the same for plans with or without optional Adult Dental, Vision and Fitness within this...
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ICD-10
https://www.caresource.com/providers/education/icd-10/...other industry ICD-10 websites. New CMS-1500 Claim Form Ohio Department of Medicaid (ODM) Tips & Alerts Claims Compliance Date Span Date Billing ICD-10 and Dental Claims Billing Unspecified Codes Inpatient...
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Request Patient Services
https://www.caresource.com/providers/tools-resources/request-patient-services/We make it easy for you to request services for your patients. See below for benefit information and instructions to obtain services that enable improved access to care. 9-8-8 Suicide...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/CareSource MyCare Ohio allows individuals to select Medicaid only coverage from the plan managing their CareSource MyCare Ohio benefits. Individuals may choose to have CareSource MyCare Ohio either: Provide their...
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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...by CareSource regarding payment for a Part D drug or exceptions to our formulary. If your coverage determination is denied, you can appeal the decision by asking for a redetermination...
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CareSource Foundation
https://www.caresource.com/about-us/caresource-foundation/...Fox Consulting Lyric Merchants Supply Microsoft Omega Optum Persistent Systems RevOne Companies SAS Soda Health SpectraMedix Taft Law TEKsystems Transreme United Concordia Dental United Direct Solutions UnitedHealhcare VACO Yates LTD...
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Accessibility and 508 Compliance
https://www.caresource.com/about-us/legal/accessibility-for-people-with-disabilities-and-compliance-with-section-508/...disabilities, unless doing so would impose an undue burden on the agency. The Section 508 standards are the technical requirements and criteria used to determine whether the agency is meeting...
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