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Clinical Guidelines
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/clinical-guidelines/CareSource uses MCG Guidelines to help review medical necessity for health service requests. MCG Guidelines are the protected intellectual property of MCG. CareSource is not able to distribute them without...
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Pharmacy Advisory Board
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacy-community-programs/pharmacy-advisory-board/...and external, with the purpose of discussing clinical programs, partnership opportunities, pilot proposals, and workgroup updates. The contributions of this group help to improve overall patient care and outreach to...
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Prescription Drug Coverage
https://www.caresource.com/plans/dsnp/pharmacy/drug-coverage/We partner with Express Scripts® to help manage your pharmacy benefit. Prescription Drug Benefits We cover medications under Medicare Part D that help you stay healthy. See your Evidence of...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/...help them provide efficient and quality care. Dental Provider Manual The dental provider manual is a resource for our dental providers and serves as a link between your office and...
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Provider Resources
https://www.caresource.com/providers/provider-portal/...Sign Up today! Two Portals, One Simple Sign-On! CareSource and HAP offer the benefit of a provider portal. To help streamline your operations, we offer single sign-on from the HAP...
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Additional Services
https://www.caresource.com/plans/dsnp/benefits-services/additional-services/...Get Started Now! MyStrength MyStrength Take charge of your mental health with our wellness tool, myStrengthSM. It offers personalized support to help improve your mood, mind, body and spirit. Get...
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Pharmacy
https://www.caresource.com/benefits-services__trashed/pharmacy/...the back of your CareSource member ID card. Need Help Paying for Your Prescription Drugs? If you are in a program that helps pay for your drugs (Extra Help), the...
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Pregnancy Cravings
https://www.caresource.com/members/education/pregnancy/eating-during-pregnancy/pregnancy-cravings/...sense. Here are guidelines that may help, especially if you find yourself craving something unusual. From alcohol to seafood, find out what foods may be risky during pregnancy. Foods to...
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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...care if the service is medically necessary and the service from an in-network provider is not available. Continuity of Care We are here to help you continue and coordinate medically...
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Care & Disease Management
https://www.caresource.com/plans/tricare-prime-demo/benefits-services/care-disease-management/Were you recently released from the hospital? FIND OUT HOW WE CAN HELP Care Management Connect with a single point of contact for all your health care needs. Get support...
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