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HPV Toolkit
https://www.caresource.com/members/education/preventive-care/hpv/...vaccine for both boys and girls starting at age 9. Use the ACS toolkit links below to learn more about why the HPV vaccine is important for your child or...
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DRUG TRANSITION POLICY
https://www.caresource.com/pharmacy/drug-transition-policy/...drug covered by the plan or ask the plan to make an exception for you and cover your current drug. For more information about asking for a temporary supply, or...
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Drug Transition Policy
https://www.caresource.com/plans/mich/benefits-services/pharmacy/drug-transition-policy/...drug covered by the plan or ask the plan to make an exception for you and cover your current drug. For more information about asking for a temporary supply, or...
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CareSource MyLife
https://www.caresource.com/members/tools-resources/caresource-mylife/Discover what CareSource MyLife can do for you Manage your health plan and get supported for everyday care. CareSource MyLife is built to give you the right tools and information...
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Preferred Drug List
https://www.caresource.com/plans/caresource-passe/benefits/pharmacy/preferred-drug-list/...Changes to the Drug List Notification Date Summary of Formulary/Prior Authorization Changes Effective July 1, 2026 06/01/2026 Summary of Formulary/Prior Authorization Changes Effective April 1, 2026 03/01/2026 Summary of Formulary/Prior...
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Non-Participating Provider Appeals & Disputes
https://www.caresource.com/providers/provider-portal/appeals/non-participating-provider-appeals-disputes/...Liability (WOL) statement is required. If you do not submit a signed WOL, the appeal will be dismissed. Disputes CareSource pays non-contracted providers as Medicare would have paid for the...
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Part C Medical Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-c-medical-plan-rights/...an organization determination. Who Can Ask for an Organization Determination? You Your appointed representative Your provider Full details for these requests can be found in the Evidence of Coverage (EOC)...
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Common Compliance Terms
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/common-compliance-terms/...act that constitutes fraud under applicable federal or state law. FWA is short for fraud, waste, and abuse Health Information Technology for Economic and Clinical Health (HITECH) Act is law...
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Priorities
https://www.caresource.com/about-us/caresource-foundation/program-areas/...guide for grantees. Across all four priority focus areas, we give strong consideration to: Organizations and ideas that demonstrate exceptional potential for making a difference in one or more of...
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ARP Special Edition Broker Newsletter
https://www.caresource.com/producers/tools-resources/newsletters/arp-special-edition-broker-newsletter/...earning less than 400% of the Federal Poverty Level, or $51,520 for a single person. Consumers making less than 150% of FPL, $19,320 for a single person or $39,750 for...
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