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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...and Bridge Payments for Providers 03/14/2023 Medicaid Coverage Redetermination Resumes April 1 03/10/2023 Pregnancy Risk Assessment Form (ePRAF) Education Series 03/08/2023 Pulsewrx for Diabetes Monitoring 03/06/2023 Policy Updates March 2023...
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Contact Us
https://www.caresource.com/members/contact-us/...Pay your monthly premium View payments and past invoices View claims to see what CareSource paid and what you owe Check your progress toward your deductible and out of pocket...
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Part D Prescription Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-d-prescription-plan-rights/Coverage Determinations (Decisions) A decision we make about the payment for a Part D drug or an exception to our formulary. If you believe you are entitled to payment or...
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Tobacco Use & Chronic Disease
https://www.caresource.com/members/education/smoking-cessation/tobacco-use-chronic-disease/...[Vietnamese] – 1-800-778-8440 Tobacco-Free Resources Five Ways Quitlines Help Benefits of Quitting Tobacco Former Smokers Share Stories Main Tobacco Cessation Page Tobacco Cessation and Pregnancy Tobacco Cessation and Youth Want...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...menu to launch the SUPDL. Prior authorization (PA) criteria links can be found with the associated Drug Class within this document. Note: PA Forms are on the Forms page under...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...to Fix: Correct DOS with date after ICD-10 was available. Error Number: 766 Error Description: Services were performed during a Health Insurance Exchange (HIX) premium payment grace period. Error Number:...
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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...plan. Visit the Forms page to find any form when you need it. How can I get information sent to me in paper form? You can request information be sent...
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Baby Care
https://www.caresource.com/members/education/pregnancy/baby-care/...get support. Feeding Baby Choosing to breastfeed, formula feed, or a combination of both is a hard decision for many new parents. Breastfeeding We want you to have the tools...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...Fill out the Grievances and Appeals form. Mail us a letter. Mail the letter to: CareSource PASSE Attn: Member Grievances P.O. Box 1947 Dayton, OH 45401-1947 Who can ask for...
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...PASSE to measure their impact on member health outcomes. Review and approval of the guidelines are completed by the Market CareSource PASSE Provider Advisory Committee (PAC). The CareSource PASSE Enterprise...
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