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Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/...Pharmacy Your pharmacy benefits are provided by Gainwell Technologies. Gainwell Technologies is the Single Pharmacy Benefit Manager (SPBM) for all Ohio Medicaid members. Learn more at spbm.medicaid.ohio.gov. Extra Benefits Rewards...
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MA-Dual Special Needs
https://www.caresource.com/plans/dsnp/Those who are eligible for Medicare Parts A & B, full Medicaid benefits (QMB, QMB+, FBDE, SLMB+), and live in our service area can join CareSource Dual Advantage or CareSource...
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Forms
https://www.caresource.com/providers/tools-resources/forms/We have compiled all of the essential forms in one place for you to utilize. Select the applicable form(s) for reporting, credentialing, claims, and more. Note: You may need to...
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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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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/To learn more about appeals and how to file an appeal for your plan, choose your plan from the drop down list above, then click GO. An appeal is how...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...that behavioral health is integrated across all interventions. Please utilize the following links for more Provider tools, as well as resources for your patients. Helpful Resources to Support Mental Health...
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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...you can find more information about credentialing in our Provider Portal. Or, you can find more information about credentialing in our Provider Portal. You can reach out to their assigned...
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MyResources
https://www.caresource.com/members/education/myresources/...Financial support And more! We have programs across the U.S., from small towns to large cities. More programs are added each day. You can use this tool through your My...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...who you believe would benefit from Disease Management Support and is not currently enrolled, please call 1-844-438-9498. Health Needs Assessment Georgia Medicaid and CareSource ask that all members complete the...
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Gold Plans
https://www.caresource.com/plans/marketplace/plan-documents/gold-plans/...Healthy Heart Gold Medicaid Transition Plan $0 Chronic Care Services Healthy Heart Gold Medicaid Transition Plan $0 Chronic Care Services + Adult Vision & Fitness Gold 2000 $15 Generic Drugs...
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