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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/Administrative Law Hearing Not happy with an internal appeal decision? You may ask for an Administrative Law Hearing. This is the next formal step. It involves you or your representative,...
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Plan Documents
https://www.caresource.com/plans/mycare/plan-documents/...Request Form – If you think you should get payment or benefits on a certain drug, you can request a coverage determination. Fill out this form: online or hard copy....
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Plan Documents
https://www.caresource.com/plans/plan-documents/...hard copy (Updated 03/01/2021) – If you believe you are entitled to payment or benefits on a certain drug, you can request a coverage determination by completing this form. Coverage...
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Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/CareSource covers services that are medically necessary. We also offer rewards and incentives for you. Some services have a small cost to you. This is called a copayment or copay....
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...provider’s office staff not treating you fairly. Not being satisfied with the quality of care you received. A partial approval to cover a service. A service payment denial. A surprise...
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COVID-19 Information and Resources
https://www.caresource.com/members/tools-resources/covid19/The Public Health Emergency (PHE) for COVID-19 ended. Most services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/Please select your state. CareSource plans provide comprehensive, quality coverage that you can afford, understand and use. We offer individual and family plans with adult vision and fitness coverage. Benefits...
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Contact Us
https://www.caresource.com/about-us/contact-us/CareSource knows that understanding health care can be confusing. We strive to make it easy for doctors, members and the community to work with us, whether online or over the...
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