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Behavioral Health Carve-In
https://www.caresource.com/providers/education/patient-care/behavioral-health-carve-in/...Benefit Grids MyCare and Medicaid Outpatient Hospital Benefit Grid – Use this benefit grid to understand the hospital covered services for behavioral health services. MyCare and Medicaid CBHC (Community BH...
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Additional Services
https://www.caresource.com/benefits-services/additional-services/...copays and select services. BENEFIT HIGHLIGHTS BENEFIT HIGHLIGHTS All standard Medicare and Medicaid benefits All standard Medicaid benefits No Copays for Medicaid-covered drugs No Copays for Medicaid-covered drugs No Copays...
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Plans
https://www.caresource.com/plans/...Demo Indiana Indiana Healthy Indiana (HIP) Hoosier Healthwise (HHW) Marketplace Kentucky Kentucky MARKETPLACE Michigan Michigan Medicaid MI Coordinated Health Marketplace Nevada Nevada Medicaid Marketplace North Carolina North Carolina MARKETPLACE Ohio...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...service not covered by Medicaid, the provider may charge the member for the service as long as the member has been told prior to receiving the service that it was...
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Update Practice Information
https://www.caresource.com/providers/provider-portal/update-practice-information/...New Health Partner Contract Form. Ohio Medicaid and CareSource MyCare Ohio providers should utilize the Provider Network Management (PNM) module from the Ohio Department of Medicaid for submitting provider applications,...
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Find My Prescriptions
https://www.caresource.com/members/tools-resources/find-my-prescriptions/...taking. CareSource uses a preferred drug list. This list is also called a PDL. These are drugs that we like our providers to prescribe. It includes products on Indiana Medicaid’s...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Behavioral Health Medicaid Benefits Continuum Resource 2022 HCBS Medicaid Benefits Continuum Resource Fee Schedules HCBS 1915 (c) HCBS 1915 (i) CareSource® evaluates prior authorization requests based on medical necessity, medical...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/CareSource covers all medically necessary Medicaid-covered drugs at many pharmacies. CareSource also covers many commonly used over-the-counter (OTC) medications with a written prescription from your doctor. CareSource uses Preferred Drug...
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/These administrative policies apply to the Georgia Medicaid plans. These administrative policies apply to the Ohio Medicaid plan. These administrative policies apply to the Indiana Medicaid plans. These administrative policies...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...Payer ID for transactions, as below: 837 2010BB NM109p Description 0003150 CareSource OH Medicaid Medical CSVIS001 CareSource OH Medicaid Vision CSDEN001 CareSource OH Medicaid Dental Provider Training Provider Journey Maps...
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