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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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Accreditations
https://www.caresource.com/about-us/accreditations/NCQA HEALTH PLAN ACCREDITED Georgia Marketplace Georgia Medicaid Indiana Marketplace Indiana Medicaid Michigan Medicaid Michigan Medicare Nevada Marketplace Nevada Medicaid Ohio Marketplace Ohio Medicaid West Virginia Marketplace Wisconsin Marketplace NCQA...
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Contact Us
https://www.caresource.com/members/contact-us/Member Services Commonwealth Care Alliance® (CCA): 1-866-610-2273 (TTY: 711) Seven days a week, 8 a.m. to 8 p.m., Eastern Time (ET) Member Services We can help you: Get interpreters in...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...and out-of-pocket limit. If you think you’ve been wrongly billed, contact the Centers for Medicaid & Medicare Services (CMS). The federal phone number for information and complaints is: 1-800-985-3059. Visit...
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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/To Find a Pharmacy near you, simply type in your city or zip code and follow the prompts. CareSource PASSE pays for all medically necessary, CMS participating, Medicaid-covered FDA-approved products...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/Our Quality Improvement (QI) Program is designed to ensure the organization delivers on all aspects of care delivery for beneficiaries based on their unique needs. We monitor, analyze and identify...
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Training & Events
https://www.caresource.com/providers/education/training-events/Earn rewards for keeping your patients healthy! Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/...apply to the MyCare Ohio (Medicare-Medicaid) plan. These reimbursement policies apply to our Georgia Medicaid plans. These reimbursement policies apply to our Indiana Medicaid plans. These reimbursement policies apply to...
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Centralized Credentialing & Single Pharmacy Benefit Manager
https://www.caresource.com/providers/tools-resources/centralized-credentialing-single-pharmacy-benefit-manager/...information on the Provider Master File (PMF) through Medicaid Information Technology System (MITS), prior to the anticipated freeze. Provider Updates for October 1 Launch To submit a new Ohio Medicaid...
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Pharmacy
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/...for all Ohio Medicaid members. They use a preferred drug list (PDL) which is a list of drugs they prefer your provider prescribe. Please call Gainwell Member Services at 1-833-491-0344...
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Medicaid