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Changes to the Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/pdl-changes/...Changes Effective January 1, 2019 12/01/2018 Notification Date Posted Summary of Formulary Changes Effective January 1, 2026 12/01/2025 Summary of Formulary Changes Effective October 1, 2025 09/01/2025 Summary of Formulary...
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Foundation FAQ
https://www.caresource.com/about-us/caresource-foundation/foundation-faqs/Application Questions I have forgotten my password. How do I reset it? Click the Forgot Password? link available on the account login page. Why am I not receiving any emails...
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Find A Doctor
https://www.caresource.com/members/tools-resources/find-a-doctor/Choose a plan from the drop-down list above, then click GO! Search for Providers Below: Search Envision Network The Envision network is for individuals and families who live in the...
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Additional Services
https://www.caresource.com/plans/mycare/benefits-services/additional-services/...for Medicaid services No copays for Medicaid services No Copays for Medicare Part D drugs Over-the-counter (OTC) benefits through the Medicaid covered product list CareSource24® Nurse Advice Line CareSource24® Nurse...
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Medical Benefits
https://www.caresource.com/benefits-services__trashed/medical/...care provider (PCP) will ask for prior authorization from us and then schedule these services for you. If you are seeing a specialist, he or she will get approval from...
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State Fair Hearings
https://www.caresource.com/members/tools-resources/grievance-appeal/state-fair-hearings/...30 calendar days for a standard request or 72 hours for an expedited request. You must ask for a hearing within 90 calendar days of the date on your decision...
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August 2020 Broker Bulletin
https://www.caresource.com/producers/tools-resources/newsletters/august-2020-broker-bulletin/...carrier agnostic. AHIP charges $175 for this course. HealthSherpa Training CareSource is migrating to a new platform, HealthSherpa, for our Marketplace enrollments. If you missed the training that was conducted...
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QEP Flu Shot - DSNP
https://www.caresource.com/providers/qepflushot-dsnp/...that there will be a question there around the shot. STEP 4: SUBMIT CLAIMS FOR REIMBURSEMENT When you are ready to submit claims for the flu shots you’ve administered, make...
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Third-Party Application Data Sharing
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/third-party-use-of-health-data/...can learn about your rights under HIPAA and who must follow HIPAA at: https://www.hhs.gov/hipaa/for-individuals/index.html. You can also read FAQs at: https://www.hhs.gov/hipaa/for-individuals/faq/index.html. HIPAA law must be followed by health care providers...
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Preventive Services
https://www.caresource.com/plans/dsnp/benefits-services/preventive-services/There are health activities you can do to make sure you stay healthy. The charts below describe what care or screenings are suggested for someone of your gender and age...
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