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Care & Disease Management
https://www.caresource.com/members/education/care-disease-management/...Kidney Disease Congestive Heart Disease Diabetes Perinatal Conditions Prediabetes Pregnancy Obesity Organ Transplants Serious and persistent behavioral conditions Substance Use Disorder If your doctor, pharmacy or other health care provider...
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Health Care Terms
https://www.caresource.com/plans/dsnp/benefits-services/behavioral-health/health-care-terms/...may be offered if you were recently in the hospital. It includes one-on-one and group therapy. Treatment happens during the day. You do not have to stay overnight. Pharmacological Counseling...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...System (OMES) Provider Network Management (PNM) module, which will reduce administrative burden on providers. Also, the Single Pharmacy Benefit Manager (SPBM) will begin providing pharmacy services across all managed care...
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Medication Disposal
https://www.caresource.com/members/tools-resources/find-my-prescriptions/medication-disposal/...to the DEA site to see a list of sites near you. RETURN TO THE PHARMACY OVERVIEW Do you have any old or unused medications? Don’t just throw them away...
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Provider Overview
https://www.caresource.com/providers/...Behavioral Health Health Care Links Newsletters & Communications Pharmacy Quality Improvement Reporting Fraud, Waste & Abuse Training & Events Tools & Resources Tools & Resources Access information to help you...
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Comprehensive Formulary
https://www.caresource.com/plans/dsnp/pharmacy/drug-formulary/...Pharmacy Overview The comprehensive formulary is a list of drugs covered under the Part D benefit of your CareSource plan. 2026 Comprehensive Formulary CareSource Dual Advantage (Last updated on 05/01/2026)...
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Part D Prescription Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-d-prescription-plan-rights/...we have made, you can appeal our decision. Who Can Ask for a Coverage Determination? You Your appointed representative Your provider Our Pharmacy Benefits Manager, Express Scripts® is in charge...
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...possible. Be enrolled and pay any required premiums. Pay an annual deductible, copayments and coinsurance. Pay the cost of limited and excluded services. Choose network providers and network pharmacies. Show...
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Healthy Indiana Plan (HIP) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hip-benefits/...Yes Yes Yes Yes Yes Clinic Services Yes Yes Yes Yes Yes Nurse Practitioner Services Yes Yes Yes Yes Yes Hospital Care (Non-emergency) Yes Yes Yes Yes Yes Pharmacy and...
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Find a Doctor's Professional Training
https://www.caresource.com/members/tools-resources/where-to-get-care/find-doctors-professional-training/...an in-network provider. Neither Medicare nor CareSource will be responsible for the costs unless you get approval from CareSource. Use an in-network pharmacy to get your prescriptions unless there is...
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