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Part D Prescription Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-d-prescription-plan-rights/...of your Evidence of Coverage. You can also submit feedback directly to Medicare by using the Medicare Complaint Form. You can also call Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/CareSource is required to prevent, identify, investigate, correct and report (FWA). As a CareSource FDR, you share these same responsibilities and requirements. In order for you to be able to...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...03/05/2025 Ohio Next Generation Program Update Webinar 03/04/2025 Pharmacy Policy Updates March 2025 03/01/2025 Policy Updates March 2025 03/01/2025 Pediatric Vision Directory Survey 02/27/2025 Temporary Waiver of Prior Authorization Requirements...
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Benefits & Services
https://www.caresource.com/plans/dsnp/benefits-services/...covered under your plan. Provider and Pharmacy Directory: A list of the participating (in-network) providers and pharmacies. Learn more on our Plan Documents page. 2. Access the My CareSource member...
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Advance Care Planning
https://www.caresource.com/advance-care-planning/...family and other important people in your life. You can also put these decisions in to writing by completing an advance directive. This is a legal document that allows your...
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...or the care it provides. Make recommendations regarding the plan’s member rights and responsibilities policy. Choose an advance directive to designate the kind of care you wish to receive should...
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Vendor Compliance FAQ
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/frequently-asked-questions/The frequently asked questions below are intended to help First Tier, Downstream and Related Entities (FDR) understand and manage their compliance efforts. Please click on the expandable menus below to...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/We are excited to welcome you as a CareSource member and introduce some of the programs and tools that make CareSource more than just health insurance. We are Health Care...
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How To Get Help With Drug Costs
https://www.caresource.com/plans/mycare-snp/benefits-services/pharmacy/drug-cost-help/...copayment from you and is carrying your copayment as a debt owed by you, we may make the payment directly to the pharmacy. If the state paid on your behalf,...
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Medicare Prescription Payment Plan
https://www.caresource.com/plans/dsnp/pharmacy/drug-cost-help/mppp/...owe until your balance is paid. After you leave this payment option, you will pay the pharmacy directly for new out-of-pocket drug costs. What Happens If I No Longer Have...
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