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Behavioral Health
https://www.caresource.com/plans/medicaid/benefits-services/behavioral-health/...medications to treat your condition (in medical office or home); no prior authorization for office visits. Residential treatment Live-in recovery treatment for substance use disorder (SUD)/addiction. Prior authorization is required....
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...would like more information on our quality improvement, please call Provider Services at 1-833-230-2101. Our hours are Monday through Friday, from 8 a.m. to 6 p.m. Eastern Time (ET). Clinical...
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Prescription Drug Formulary
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/preferred-drug-list/...provide a decision no later than 72 hours after the request is received, or within 24 hours if the member is suffering from a serious health condition. Providers may be...
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Contact Us
https://www.caresource.com/about-us/contact-us/...shown under Members and Providers. Offices For nearly 30 years, CareSource has been headquartered in Dayton, Ohio. You can send mail to our headquarters at: CareSource P.O. Box 8738 Dayton...
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Medical Benefits
https://www.caresource.com/benefits-services__trashed/medical/...on our Plan Documents page. 2022 Copayments and Fees Doctor Office Visits (In-Network) CareSource Advantage Zero Premium (HMO) CareSource Advantage (HMO) Primary Care Physician (PCP) $10 – $15 copay $0...
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Dental, Vision & Hearing
https://www.caresource.com/benefits-services__trashed/dental-vision-hearing/...with extended evening and weekend hours in convenient locations Online solutions that allow members and their caregivers, to evaluate options at home and reduce stress at the provider office Benefit...
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During Pregnancy
https://www.caresource.com/members/education/pregnancy/during-pregnancy/...rides to and from all provider visits. Call us at 1-855-202-0729 (TTY: 711) 48 hours before your visit. We will arrange a ride to and from your visit. Join the...
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Welcome To CareSource
https://www.caresource.com/welcome-to-caresource/Thank you for choosing us! We want you to be happy with your coverage. We offer a suite of online self-service tools, but you can always call Member Services with...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/...A Allergy Testing and Allergen Immunotherapy Avastin for use in Ophthalmology Billing Guideline B Breast Imaging C CLIA-Waived Testing in Office Setting Coordination of Benefits Coordination of Benefits COVID-19 Vaccine...
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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...see a provider who is not in the HAP CareSource network, Prior Authorization is required except in emergency situations. You do not need a prior authorization for any office visit...
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