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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...plans page or the Formulary. For more information access our Pharmacy page, view the Provider Manual or call us at 1-833-230-2101. Drug coverage information for our formulary is also available...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...us at: CareSource Attention: Georgia Member Appeals P.O. Box 1947 Dayton, OH 45401 If you need help reading this information, please call us. We can read the information aloud for...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...tobacco cessation) Information about clinical practice guidelines and health information are made available to CareSource Indiana members via member newsletters, this website or upon request. Preventive Guidelines and Health Links...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...the UM process and identifies any areas for improvement opportunities. Prior Authorization CareSource understands that you may have questions about prior authorization. Access the Prior Authorization webpage for detailed information....
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/...be given information about your health. This information may also be available to someone who you have legally authorized to get information on your health. This person could be reached...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/Quick References COVID-19 information Pharmacy information, including our Preferred Drug Lists (PDLs) Medical, pharmacy, reimbursement and administrative policies We strive to make partnering with us simple. We’re aware things may...
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HIPAA Privacy Practices - Kentucky
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky/...Provider claims contain information on your treatment given and may include x-rays and lab results. All this information is considered to be your Protected Health Information (PHI). Humana – CareSource...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...Medicaid plan. You will find key information that will make it easier for you to do business with us and assist you in serving our members. Quick Reference Guides Below...
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Contact Us
https://www.caresource.com/providers/contact-us/CareSource PASSE™ strives to make it easy for you to work with us, whether online or over the phone. Key Contact Information Below is a list of the plan’s phone...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...history, etc. Obtaining patient records from facilities visited by CareSource patients for emergency or urgent care if notified of the visit Ensuring demographic and practice information is up to date...
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