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Behavioral Health
https://www.caresource.com/plans/medicaid/benefits-services/behavioral-health/...list above and click the GO button. This is not a complete list of benefits. See your member handbook or call Member Services for details. Benefits may change on January...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/This page explains the CareSource Indiana Quality Management and Improvement program. This section includes medical and technical terms. If you need help understanding this section, please call Member Services at...
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Quick Start Steps for New Members
https://www.caresource.com/members/tools-resources/quick-start-guide/quick-start-steps/(or Their Parents/Guardians) Put your CareSource ID card in your wallet. Use it each time you use your health care benefits. Review your CareSource member handbook to learn about your...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/Before providing care or prescribing medicine for your patients, please review the CareSource® MyCare Ohio (HMO D-SNP) Medicare Part D formulary and Medicaid List of Covered Drugs. Formulary Use the...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/Our Program Integrity Department handles cases of managed care fraud, waste or abuse. It can be done by providers, pharmacies, or members. Fraud means the purposeful misuse of or for...
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Pharmacy
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/...when you have a chronic or difficult health condition. These drugs typically require special handling, monitoring, or special administration. If you have been prescribed specialty drugs, Accredo can: Help you...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...of health care services Claims, payments, handling or reimbursement for health care services Matters involving the contractual relationship between the member and the plan These types of grievances do not...
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Guardianship
https://www.caresource.com/members/education/planning-ahead/guardians/...(TTY: 1-800-255-0056 or 711), Monday – Friday 7 a.m. – 7 p.m. State Resources: Indiana: Guardianship & Alternatives to Guardianship West Virginia: Guardian and Conservator Handbook Ohio: Guardianship Guide Georgia:...
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Waiver Services
https://www.caresource.com/plans/mycare/benefits-services/waiver-services/...handbook on our Plan Documents page for more details. If you need a hard copy of this handbook, please let us know. Incidents If the care you get ever causes...
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Plan Documents
https://www.caresource.com/plans/georgia-pathways-to-coverage/plan-documents/Member Handbook The Member Handbook is a quick reference guide to your health care benefits. You can quickly look up information such as your covered benefits and services, where to...
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