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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...Other Drug Dependence (AOD) Treatment Initiation of AOD Treatment – Adolescents and adults with a new episode of AOD should have treatment initiated through an inpatient AOD admission, outpatient visit,...
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Tools & Resources
https://www.caresource.com/providers/tools-resources/...on the latest news. Learn More Drug Formulary Drug Formulary Look up medications for your patient’s plan. Learn More Forms Forms Find forms for contracting, authorization, claim submission and more....
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...after receiving a denial from CareSource for the requested non-covered service. Existing clinical policies are regularly reviewed and updated. New policies are added as appropriate, while previous versions are maintained...
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Request Patient Services
https://www.caresource.com/providers/tools-resources/request-patient-services/...driver can reach them. This will help us better meet their needs. Members can also get help with transportation for certain services through the local County Department of Job and...
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Open Enrollment Deadlines
https://www.caresource.com/plans/marketplace/open-enrollment-deadlines/Open Enrollment for 2027 Starts November 1 | Ends December 15 Renew Your Plan or Pick a New Plan Do you want to renew your current CareSource plan? Yes, I...
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ICD-10
https://www.caresource.com/providers/education/icd-10/...other industry ICD-10 websites. New CMS-1500 Claim Form Ohio Department of Medicaid (ODM) Tips & Alerts Claims Compliance Date Span Date Billing ICD-10 and Dental Claims Billing Unspecified Codes Inpatient...
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Contact Us
https://www.caresource.com/providers/contact-us/...Monday through Friday, 8 a.m. to 5 p.m. CT Pharmacy Benefit Fax: 866-930-0019 Physician Administered Drugs Fax: 888-399-0271 Pharmacy 1-833-230-2100 Monday through Friday, 8 a.m. to 5 p.m. CT Claims...
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Six Flu Shot Facts To Know
https://www.caresource.com/members/education/preventive-care/flu-shot-facts/...last flu season may not work this flu season. Because of this, the flu shot also has to change every flu season. By August each year, the new flu shot...
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Plan Documents
https://www.caresource.com/plans/marketplace/plan-documents/...days a week. CareSource Silver CareSource Bronze Plans Lowest premiums and highest out of pocket costs. New for 2026! All Bronze plans are now Health Savings Account (HSA)-eligible plans, providing...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...RadMD’s website. Pharmacy Prior Authorization Some drugs may require prior authorization before they will be covered. Please refer to the Pharmacy page to review these requirements. For drugs processed through...
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