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Behavioral Health
https://www.caresource.com/plans/dsnp/benefits-services/behavioral-health/...Substance Use Disorder Substance Use Disorder Addiction is tough. Whether it is alcohol, prescription drugs or something else, we want to help you get the support you need. GET HELP...
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2025 DSNP Extended Benefits
https://www.caresource.com/plans/dsnp/2025-extended-benefits/...want you to have consistent care and benefit coverage with your providers. Here s a breakdown of your 2025 coverage. Pharmacy Pharmacy $0 copay on all prescriptions when you qualify...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...the Evidence of Coverage on our Plan Documents page. We have more detailed information on these pages: Medicare Advantage Part C Medical Plan Rights Medicare Advantage Part D Prescription Drug...
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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...You leave CareSource. Member Services: 1-855-202-0729 (TTY: 711), open Monday through Friday 7 a.m. to 7 p.m. What is prior authorization? CareSource needs to pre-approve some services and prescription drugs....
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Early and Periodic Screening Diagnostic and Treatment (EPSDT)
https://www.caresource.com/plans/medicaid/benefits-services/early-periodic-screening-diagnostic-treatment/...with a primary care provider (PCP), specialist, dentist, hearing, vision, and other CareSource providers to diagnose and treat problems or issues Inpatient or outpatient hospital care Clinic visits Prescription drugs...
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Referrals & Prior Authorization
https://www.caresource.com/plans/marketplace/benefits-services/referrals-prior-authorization/...Authorization List 2025 Prior Authorization List To learn more about prescription drugs that require Prior Authorization, please visit the Prescription Drug Formulary page. Services Outside of Network Routine care and...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/Our Quality Improvement (QI) Program is designed to ensure the organization delivers on all aspects of care delivery for beneficiaries based on their unique needs. We monitor, analyze and identify...
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CareSource PASSE
https://www.caresource.com/plans/caresource-passe/...and options to help you. Behavioral Health Tools & Resources Tools & Resources Access helpful tools like Find a Doctor and Find My Prescription, view plan documents and more. Tools...
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Navigator Tools & Resources
https://www.caresource.com/producers/navigator-tools-resources/Search Prescriptions Search Prescriptions Find out if your client’s drugs are covered by our plan. Search Prescriptions Marketing Material Marketing Material Browse our marketing materials. Browse Marketing Material Find A...
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Tools & Resources
https://www.caresource.com/producers/tools-resources/...to keep up on all the latest CareSource news, training announcements, and upcoming events. View Newsletters Search Prescriptions Search Prescriptions Find out if your client’s drugs are covered by our...
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