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ADHD Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/adhd-toolkit/...utilize with members when they present symptoms of ADHD. These tools can be used to aid in the initial evaluation process to proactively identify the presence of ADHD, including implementing...
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Health Care Terms
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/health-care-terms/...day. Opioid Treatment Program (OTP) Services OTP is a type of Medication Assisted Treatment (MAT). It is for those with Opioid Use Disorder. OTP helps ease cravings for opioids and...
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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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Provider Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/...to health partner policies. Policies may vary by plan and/or state. Click the links to access policies for your member’s plan. The policies presented on these pages may not be...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...Authorization & Provider Portal Portal providers and/or their delegates should follow Ohio Department of Medicaid’s (ODM) guidelines to submit prior authorization requests and supporting documentation through the Ohio Medicaid PNM...
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Success Stories
https://www.caresource.com/members/tools-resources/life-services/success-stories/...The employer agreed because the position did not rely heavily on fluent English. The member was offered the job in April and by mid-May the employer said, “Can you find...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...are provided by Gainwell Technologies. Gainwell Technologies is the Single Pharmacy Benefit Manager (SPBM) for all Ohio Medicaid members. They cover all Medicaid-covered medically necessary prescription and over-the-counter (OTC) medications....
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TERMS AND CONDITIONS
https://www.caresource.com/about-mstc/legal/terms-and-conditions/...to continually improve communication and develop new services relevant to our members, providers, and the community-at-large. Personally Identifiable Information (PII) may include your name, address, e-mail address, information regarding your...
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Mental Health And Wellness
https://www.caresource.com/plans/dsnp/benefits-services/behavioral-health/mental-health-and-wellness/...setting and get care. This care could be for mental health and/or substance use needs. This is not a complete list of benefits. See your member handbook or call Member...
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Your Diabetes Health Plan
https://www.caresource.com/plans/marketplace/plan-documents/your-diabetes-health-plan/...don’t have it, you can view or download it here. As a Diabetes plan member, you get many drugs, services and supplies at $0 cost to you! If you need...
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