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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...Announcements page frequently to find all the latest CareSource news. Please note: The links below are in PDF format. If you do not have Adobe Acrobat Reader, you may download...
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Behavioral Health Carve-In
https://www.caresource.com/providers/education/patient-care/behavioral-health-carve-in/...Urine Drug Screening Prior Authorization Form – Submit this form when requesting prior authorization for urine drug screenings Submit the SUD 1115 Waiver Universal PA Form to request prior authorization...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...send back. 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...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/...Form Submit this form to request continuation of care for orthodontic services. Orthodontic Evaluation and Predetermination Form Submit this form to request prior authorization for orthodontic services. Orthodontic Form for...
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Tobacco Cessation
https://www.caresource.com/members/education/smoking-cessation/...die from sudden infant death syndrome, also known as SIDS. It expensive. Smoking a pack of cigarettes a day costs on average more than $3,500 a year. Vaping or using...
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Provider Overview
https://www.caresource.com/providers/...Access information to help you with practice administration. Most Popular Drug Formulary Provider Manual Quick Reference Materials Additional Links Procedure Code Lookup Tool Request Patient Services Forms Updates & Announcements...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...at 1-833-230-2005 (TDD/TTY: 711) to tell us. We can also mail you a form to send back. Fill out the Grievances and Appeals form. Mail us a letter. Mail the...
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Pharmacy
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/...on the left side (bottom) of the page to find a pharmacy near you. Covered Prescriptions CareSource uses a Prescription Drug Formulary (or just Formulary). Your Formulary is a list...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...to ensure our members have access to health care services, particularly in rural areas where it is difficult to access offices. CareSource partners with the Georgia Partnership for TeleHealth (GPT)...
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Renew Your Benefits
https://www.caresource.com/members/tools-resources/renew-benefits/...can use pay stubs to do this. Pay Stubs must be less than 90 days from the renewal deadline. For more information about P4HB® renewals, visit the P4HB website or...
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