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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/...your plan is the same. Here is how it works. You can change your health plan for the next benefit year from November 1– December 15. Whatever you choose during...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...page. What is an External Review? External reviews are conducted by Maximus, which is an independent review organization. If you are unhappy with a CareSource decision made in response to...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...ID Card Your member ID card is the key to using your benefits. Keep it with you and show it to your health care providers when asked. A digital copy...
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Tobacco Cessation
https://www.caresource.com/members/education/smoking-cessation/Why should I quit vaping or using tobacco? It is bad for your health. It is responsible for one in every five deaths each year in the United States. It’s...
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After Pregnancy
https://www.caresource.com/members/education/pregnancy/after-pregnancy/...baby blues. It often impairs your ability to function on a daily basis. PPD can last for many months or longer if it is not treated. Postpartum Anxiety About one...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...and Human Services VIEW PUBLIC HEALTH EMERENCY INFORMATION Resources Information for Healthcare Professionals Information for Healthcare Professionals Centers for Disease Control and Prevention (CDC) View COVID-19 Information Coronavirus (COVID-19) Partner...
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Plan Documents
https://www.caresource.com/plans/marketplace/plan-documents/...care benefits. It allows you to quickly look up information such as how to contact us, how to request an ID card and how to pay your bill. Select your...
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Mental Health
https://www.caresource.com/members/education/behavioral-health/...(SUD). PHP may be given in a hospital setting. It may be offered if you were recently in the hospital. It can be one-on-one and group therapy. If you are...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...assistance, please contact our Provider Services team at 1-800-488-0134. Instructions for Out-of-Network Providers: Submitting Claims to CareSource Ohio has implemented the EDI system alongside the Fiscal Intermediary (FI) as part...
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Prescription Drug Formulary
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/preferred-drug-list/...review your Formulary regularly and may make changes. You can check the Notice of Formulary Changes to see if any of these changes affect the medicines you take. If we...
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