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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...in emergency or urgent care situations. If you obtain routine care from out-of-network-providers, neither Medicare nor CareSource will be responsible for the costs, unless specifically authorized by CareSource. You must...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...All internal appeal requests must have: The covered person’s name and ID number as shown on the ID card The provider’s name The date of the medical service The reason...
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Rewards
https://www.caresource.com/plans/medicaid/benefits-services/rewards/...and lifestyle, CareSource can help your providers coordinate your care. You can even earn a $30 Walmart® Gift Card when you complete the HNS!* You can take the HNS in...
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Advance Directive
https://www.caresource.com/members/education/planning-ahead/advance-directive/How could you be sure you would receive the medical treatment you choose if you were sick or incapacitated (for example, if you are unable to speak for yourself)? You...
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Care Management
https://www.caresource.com/benefits-services/care-management/...providers Understand your benefits Get transportation to health visits Fill out the Health Risk Assessment (HRA) Find community resources And more! If you don’t know who your Care Manager is,...
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HIPAA and HITECH Responsibilities
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/hipaa-hitech/...health plans, health care clearinghouses, and health care providers who conduct the standard health care transactions electronically. Compliance with the Privacy Rule was required as of April 14, 2003 (April...
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Medicare and Medicaid with MyCare Ohio
https://www.caresource.com/benefits-services/medicare-medicaid/...you talk with us or your providers. You can also get materials in other languages or formats at no cost to you. These formats include large print, braille or audio....
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Medicaid with MyCare Ohio
https://www.caresource.com/benefits-services/medicaid-with-mycare-oh/...We can help you get sign language interpreters or interpreters in the language you speak. Interpreters can help you talk with us or your providers. You can also get materials...
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Marketplace
https://www.caresource.com/plans/marketplace/WE GOT YOU. CareSource Marketplace plans are simple and reliable with coverage for pre-existing conditions and no annual or lifetime dollar limits for essential health benefits. Every plan also includes...
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Provider Overview
https://www.caresource.com/providers/EDUCATION SEMINARS – West Virginia Senate Bill 267 – Prior Authorizations Learn about the prior authorization changes that the West Virginia Senate Bill 267 mandates for providers and payors effective...
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