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CareSource Pharmacy Department
https://www.caresource.com/providers/education/patient-care/pharmacy/caresource-pharmacy-department/Our purpose is to create best in class Medication Therapy Management (MTM) programs by employing a specialized & dedicated team who connects with our members, providers, and pharmacies reducing healthcare...
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Pharmacist Provider Status
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacist-provider-status/...pharmacists seeking a Medicaid contract with CareSource: you must first register with the Ohio Department of Medicaid (ODM) which will manage the credentialing process through the Provider Network Module: https://managedcare.medicaid.ohio.gov/managed-care/centralized-credentialing...
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Pharmacy Community Programs
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacy-community-programs/...of pharmacy. Connecting with our communities as a plan is integral in providing better care for our members. CareSource values our pharmacy community, through working with students, residents and pharmacists...
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Flu Shot
https://www.caresource.com/members/education/preventive-care/flu-shot/...COVID-19: What’s the Difference? COVID-19 and the flu are both contagious respiratory illnesses. But COVID-19 is caused by a different virus than the flu. COVID-19 is caused by the SARS-COV-2...
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My CareSource Rewards Program
https://www.caresource.com/benefits-services/rewards/my-caresource-rewards/...members only $40 2x/calendar year (Once per flu season) Annual Physical/Wellness Exam Medicare + Medicaid members only $25 1x/calendar year A1C Test Medicare + Medicaid members only – Diagnosis for...
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Comprehensive Formulary
https://www.caresource.com/plans/dsnp/pharmacy/drug-formulary/...members who are currently taking the drug. It will remain available at the same cost-sharing for those members taking it for the remainder of the coverage year. If the FDA...
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Serious Mental Illness Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/smi-toolkit/...the member’s benefit period: Members can self-identify through the following: Customer Advocacy (844-607-2829) 24 Hour Nurse Advice Line (1-866-206-7880) Care Manager, Life Coach, or Community Health Worker Providers can identify...
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Rights & Responsibiities
https://www.caresource.com/plans/mich/plan-documents/rights-responsibiities/Member Rights As a member of our health plan, you have the right to: Receive information about HAP CareSource, your health care services as well as member rights and responsibilities...
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In Lieu of Services (ILOS)
https://www.caresource.com/providers/tools-resources/support-services/in-lieu-of-services-ilos/...participating in the Comprehensive Health Care Program (CHCP) to offer ILOS that address Medicaid members’ health-related nutrition needs. ILOS are services the state deems to be medically appropriate and cost-effective...
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Common Compliance Terms
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/common-compliance-terms/...present, or future payment for the provision of health care to the member, and that identifies the member or for which there is a reasonable basis to believe it can...
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