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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/To have your health care services covered by your CareSource plan, you must get them from a network provider. The only exceptions are: In cases of emergency; If you need...
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Mental Health
https://www.caresource.com/members/education/mental-health/At CareSource PASSE we know that good health means more than just taking care of physical needs. It means addressing the health of mind, body and spirit. Suicide and Crisis...
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Transportation
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/transportation/...pharmacy after your visit with the doctor. Five trips to the pharmacy each month without it being a stop on the way home from a doctor visit. Unlimited rides to...
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Plan Documents
https://www.caresource.com/plans/mycare-snp/plan-documents/...network pharmacies is available through our Find a Pharmacy tool. Prior Authorization List Some services require approval from CareSource MyCare Ohio before you can get them. We call this prior...
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Select Primary Provider
https://www.caresource.com/members/my-caresource-account/select-primary-provider/...be responsible for the costs unless you get approval from CareSource. You should use an in-network pharmacy to get your prescriptions unless there is a non-routine circumstance where you cannot...
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Drug Transition Policy
https://www.caresource.com/plans/dsnp/pharmacy/drug-transition-policy/...can be up to a 30-day supply at a network pharmacy if one of the following is true: You are new to CareSource Dual Advantage or CareSource Dual Advantage Plus...
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How To Get Help With Drug Costs
https://www.caresource.com/plans/mycare-snp/benefits-services/pharmacy/drug-cost-help/...believe you are qualified for Extra Help and you believe that you are paying an incorrect cost-sharing amount when you get your prescription at a pharmacy, CareSource has established a...
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Drug Formulary Changes
https://www.caresource.com/providers/tools-resources/drug-formulary/drug-formulary-changes/...team and the Single Pharmacy Benefit Manager (SPBM) Gainwell Technologies. Please visit the ODM Pharmacy website for News, Drug Coverage, and Unified PDL information. Please visit Gainwell’s Ohio Medicaid Pharmacy...
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Drug Transition Policy
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-transition-policy/...your plan changes its coverage terms. Transition refills are only for drugs you were already taking. You can’t get one for a new prescription. The pharmacy will tell you if...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/mih Let us know if you are unhappy or do not agree with a decision made by us or our providers. We want to make it right. Please call Member...
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