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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/Quick References COVID-19 information Pharmacy information, including our Preferred Drug Lists (PDLs) Medical, pharmacy, reimbursement and administrative policies We Strive to make partnering with us simple. We’re aware things may...
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Additional Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/additional-services/Accidental Dental Services All CareSource marketplace plans cover pediatric and adult dental service when related to accidental injury. See your Evidence Of Coverage or Schedule of Benefits for more information...
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Dental, Vision & Hearing
https://www.caresource.com/benefits-services__trashed/dental-vision-hearing/...benefits. You can find a network dental provider or dental specialist by visiting FindADoctor.caresource.com or by contacting DentaQuest directly. Understanding Your Medicare Advantage Dental Benefits 2022 Dental Coverage CareSource...
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Planning for Healthy Babies® (P4HB®)
https://www.caresource.com/plans/planning-for-healthy-babies/...the Find a Doctor tool. You may see a network or qualified out-of-network family planning provider for your care. This can be Georgia Association for Primary Health Care (GAPHC) providers...
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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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Prescription Drug Formulary
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/preferred-drug-list/Your Prescription Drug Formulary (or just Formulary) is a list of cost-effective drugs that you might use. Usually, drugs and devices on the Formulary are covered for you, but sometimes...
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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/Administrative Law Hearing Not happy with an internal appeal decision? You may ask for an Administrative Law Hearing. This is the next formal step. It involves you or your representative,...
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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/To Find a Pharmacy near you, simply type in your city or zip code and follow the prompts. CareSource PASSE pays for all medically necessary, CMS participating, Medicaid-covered FDA-approved products...
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Baby Care
https://www.caresource.com/members/education/pregnancy/baby-care/...during the first year to make sure they are healthy. Call your doctor to set up regular appointments and sign up for CareSource MyKids. You can earn rewards for these...
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HIPAA Privacy Practices - Georgia Medicaid
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-georgia-medicaid/...and share it with experts who are treating you Example: We may arrange more care for you based on information sent to us by your doctor. Run our organization We...
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