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CareSource Compliance Snapshot
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/caresource-compliance-snapshot/...our CareSource members. “There is nothing more important than our reputation, and it is upheld every day based on the actions of every employee.” RISK COMMITTEE On behalf of the...
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Care & Disease Management
https://www.caresource.com/plans/marketplace/benefits-services/care-disease-management/...stay as healthy as possible. As a CareSource member, you have access to: The MyHealth® online tool for members 18+. You can participate in a journey to improve your health....
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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...or in-network means that these providers see CareSource members. Use our Find a Doctor tool to find one near you. Emergency care does not need prior authorization. Referral means that...
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CareSource Life Services®
https://www.caresource.com/members/tools-resources/life-services/...and supports members by connecting them to services and resources such as: Employment opportunities (CareSource JobConnect) Budgeting and finance assistance Legal aid Housing resources and support Childcare Transportation Access to...
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Care & Disease Management
https://www.caresource.com/benefits-services__trashed/care-disease-management/...as possible. We help our members through: Understand your disease or condition Work with your doctor to reach your health goals Know when to go to the Emergency Room or...
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Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/...is a $3 copay if the condition is not an emergency health issue. Otherwise, there is no copay for emergency services. PeachCare for Kids® Copays PeachCare for Kids® members age...
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Health Assessment & Screening
https://www.caresource.com/members/my-caresource-account/health-assessment-screening/...your secure My.CareSource.com member portal account. Click on the Health tab. Mail: You can fill out a paper copy that you get in the mail. CareSource Care Manager: Members can...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/mih Let us know if you are unhappy or do not agree with a decision made by us or our providers. We want to make it right. Please call Member...
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Prescription Drug Formulary
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/preferred-drug-list/...Drug Formulary 2025 Drug Formulary 2026 Drug Formulary Price A Medication Tool We want to make sure our members get the safest, most cost-effective drugs for their needs. Refer to...
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Provider Grievances
https://www.caresource.com/providers/provider-portal/provider-grievance/...the member’s authorized representative acting on behalf of the member (or provider acting on the member’s behalf with the member’s written consent) to file a grievance either orally or in...
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