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Pharmacy Benefit Manager
https://www.caresource.com/providers/education/patient-care/pharmacy/prescription-drug-coverage/pharmacy-benefit-manager/...behalf of CareSource by negotiating with drug manufacturers and pharmacies to control drug spending. For more information visit: https://www.express-scripts.com/pharmacy-benefits-manager CareSource RxInnovations™ has partnered with Express Scripts to help manage prescriptions...
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Mental Health and Wellness
https://www.caresource.com/plans/medicaid/benefits-services/behavioral-health/mental-health-and-wellness/...prescriber to make sure it is working for you. Inpatient Services When you spend at least one night in a hospital setting and get care. This care could be for...
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Mental Health And Wellness
https://www.caresource.com/plans/dsnp/benefits-services/behavioral-health/mental-health-and-wellness/...no reason for living Using or abusing drugs or alcohol If you or someone you care for does not speak English or has vision or hearing problems, we can help....
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In Lieu of Services (ILOS)
https://www.caresource.com/providers/tools-resources/support-services/in-lieu-of-services-ilos/...when provided as substitutes for other Medicaid covered services. This initiative will build on and complement the existing food and nutrition strategies in Michigan. MDHHS’ goal for ILOS is to...
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Health Savings Accounts and HSA Bank
https://www.caresource.com/plans/marketplace/plan-documents/health-savings-accounts-and-hsa-bank/...Savings Account (HSA), is a tax-advantaged savings account you can use for health care expenses. The funds in the account are used to pay for IRS-qualified medical expenses and can...
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Health, Safety & Welfare
https://www.caresource.com/providers/education/patient-care/health-safety-welfare/...Child Abuse Hotline 1-800-482-5964 (TDD: 1-800-843-6349) Arkansas LEAPS Form Use this form to report adult maltreatment online. Training for Arkansas Mandated Reporters Learn how to recognize and report suspected abuse....
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Scott Markovich, Executive Vice President, Markets & Products
https://www.caresource.com/about-us/executive-leadership/scott-markovich-executive-vice-president-markets-products/...Strategy and Shared Services for Aetna. In addition, Scott worked for Magellan Healthcare, serving as President of Magellan Complete Care where he was responsible for their integrated physical and behavioral...
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Referrals & Prior Authorization
https://www.caresource.com/plans/marketplace/benefits-services/referrals-prior-authorization/...service Tell you how to get the service Prior Authorization Your doctor will work with us to get a prior authorization for services that need one. For example, some procedures...
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Drug Transition Policy
https://www.caresource.com/plans/dsnp/pharmacy/drug-transition-policy/...step therapy, or quantity limit. If CareSource dropped your medication from the formulary or added coverage restrictions for the new calendar year, such as prior authorization or step therapy, we...
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MyResources
https://www.caresource.com/members/education/myresources/Sometimes you just need a little extra help. We have a search tool called MyResources that helps you find free or low-cost programs and support for: Food Shelter School Work...
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