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Plan Documents
https://www.caresource.com/plans/caresource-passe/plan-documents/...care providers (PCPs) Primary dental providers (PDPs)/Dental Home Specialists Hospitalists Download the machine-readable Provider Directory here (json) Non-Discrimination Notice: Learn how to get help in your preferred language. You can...
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North Carolina
https://www.caresource.com/north-carolina/Why You Should Join the CareSource Network CareSource is dedicated to ensuring high-quality care for North Carolina members by maintaining strong relationships with our North Carolina providers. CareSource is a...
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Rights & Responsibilities
https://www.caresource.com/plans/plan-documents/rights-responsibilities-ma/...your covered services and drugs. We must protect the privacy of your personal health information. We must give you information about the plan, its network of providers, and your covered...
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Pharmacy
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/...on the Formulary, you or your provider can request an exception to get it covered. Use the links above to search for your prescriptions to find out what drugs are...
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Kansas
https://www.caresource.com/kansas/...strongly believe in collaboration with our participating providers. As part of our Kansas-based team, you will have a local provider representative to work with you and your staff. Our local...
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Rewards
https://www.caresource.com/plans/medicaid/benefits-services/rewards/...see your PMP or other provider, they will send a claim to CareSource. CareSource will add the rewards to your OTC card after we get the claim. If you don’t...
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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/...signing up When you have a reason to change, such as: You want to be on the same plan as a family member, You need care or providers that are...
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Drug Transition Policy
https://www.caresource.com/plans/mycare/benefits-services/pharmacy/drug-transition-policy/...it is temporary and explaining your options. When you are using a temporary supply of a drug, you should talk with your provider to decide what to do when your...
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Planning Ahead
https://www.caresource.com/members/education/planning-ahead/Advance Directives An advance directive is a written record about your future care and treatment. This includes mental health care. It helps your family and providers know your wishes about...
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Common Compliance Terms
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/common-compliance-terms/Abuse is defined as, provider practices that are inconsistent with sound fiscal, business or medical practices, and result in an unnecessary cost to the Medicaid/Medicare program, or in reimbursement for...
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