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Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/...Care Your dental benefits are provided by Delta Dental®. Find dentists in Delta Dental’s Provider Directory. Make sure the dentist knows you are covered by Delta Dental before you visit....
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Services That Require Prior Authorization Please refer to the Procedure Code Lookup Tool to check whether...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/These reimbursement policies apply to the TRICARE Prime® Demo by CareSource Military & Veterans™ plan. Reimbursement policies are designed to assist you when submitting claims to us. They are routinely...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/All CareSource members choose or are assigned to a primary care provider (PCP) when they enroll in the plan. They can change to another network PCP as often as needed....
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Tobacco Use & Chronic Disease
https://www.caresource.com/members/education/smoking-cessation/tobacco-use-chronic-disease/...HIV/AIDS. Tobacco, in all forms, also causes many other health issues. These issues can be: Heart disease. Cancer Breathing problems. Dental problems. Eye and ear problems. Bone problems. Reproductive problems....
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Marketplace
https://www.caresource.com/plans/marketplace/...care Pregnancy, maternity and newborn care Mental health and substance use disorder services Rehabilitative and habilitative services and devices Laboratory services Pediatric services, including dental and vision Optional Adult Vision...
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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/...Dental Services Routine dental checkups and dental cleanings are covered under Hoosier Healthwise, HIP Plus, HIP State Plus, and HIP State Basic and HIP Maternity plans. You can find a...
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MA-Dual Special Needs
https://www.caresource.com/plans/dsnp/...delivered directly to you at no extra cost for many prescriptions. Dental Dental $4,000 annual allowance for preventative services such as oral exams and cleanings as well as services like...
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Women First
https://www.caresource.com/women-first/...HbA1C (Hemoglobin A1C) $25 Diabetic Eye Exam $25 Dental and Oral Health Exam $25 Journey C: Are you pregnant or soon to be pregnant? First Prenatal Appointment $50 Dental and...
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Healthy Indiana Plan (HIP) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hip-benefits/...Yes Yes Yes Yes Extractions and Oral Surgery Yes Yes Yes Yes Accident or Injury Related Dental Services Yes Yes Yes Yes Yes If dental services are to be performed...
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