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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/As an entity that offers Medicaid and Medicare coverage, CareSource® is required to comply with certain provisions of the Deficit Reduction Act. One such provision requires us to provide you...
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Healthy Indiana Plan (HIP) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hip-benefits/...Medicine HIP Plus HIP Basic Copays may apply HIP Maternity HIP State Plus HIP State Basic Copays may apply Prior Authorization Needed? Preferred Drug List (PDL) Drugs Yes Yes Yes...
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Rights & Responsibilities
https://www.caresource.com/plans/mycare/plan-documents/rights-responsibilities/...in CareSource staff. To contact the United States Department of Health and Human Services Office of Civil Rights and/or the Ohio Department of Job and Family Services’ Bureau of Civil...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...health diagnosis (e.g., treatment for drug/alcohol use, genetic testing, HIV/AIDS, mental health or sexually transmitted diseases), you can verify if the patient has granted consent to share health information on...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/CareSource PASSE™ follows Arkansas Medicaid’s evidence-based Prescription Drug Program, Preferred Drug List (PDL) and Prior Authorization Criteria. Search Tips: To access the downloadable Preferred Drug List and Prior Authorization Criteria...
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Training & Events
https://www.caresource.com/providers/education/training-events/Earn rewards for keeping your patients healthy! Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...were held. We will notify network providers that you are no longer in the grace period. We recommend that you contact your Pharmacy to have your Prescription Drug claims reprocessed....
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Medicaid with MyCare Ohio
https://www.caresource.com/plans/mycare/benefits-services/medicaid-with-mycare-oh/...assistance is needed, tell us when you call. You can still get help with transportation for certain services through the local County Department of Job and Family Services Non-Emergency Transportation...
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Make a Payment
https://www.caresource.com/members/my-caresource-account/make-payment/...benefits. We want you and your family to stay healthy. Make your payment by the date on your bill (invoice) so your coverage starts and you stay covered. The amount...
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Early and Periodic Screening Diagnostic and Treatment (EPSDT)
https://www.caresource.com/plans/medicaid/benefits-services/early-periodic-screening-diagnostic-treatment/...with a primary care provider (PCP), specialist, dentist, hearing, vision, and other CareSource providers to diagnose and treat problems or issues Inpatient or outpatient hospital care Clinic visits Prescription drugs...
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