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Drug Transition Policy
https://www.caresource.com/benefits-services/pharmacy/drug-transition-policy/...as being discharged from the hospital to home or ending your skilled nursing facility stay. When you receive a transition refill, your plan will send you a notice telling you...
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HIPAA Privacy Practices
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/...D-SNP) MyCare Ohio (Medicare-Medicaid Plan) TRICARE Prime® Demo Plans TRICARE Prime Demo Sharing Health Data Third-Party Application Data Sharing Learn how CareSource can share clinical health data between health plans...
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Ending or Changing Membership
https://www.caresource.com/plans/mississippi-chip/ending-or-changing-membership/We hope you will be happy with TrueCare™. If you have problems or concerns about your benefits, please call us so we can try to help resolve them. Call Member...
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Baby Care
https://www.caresource.com/members/education/pregnancy/baby-care/...bed with parents, caregivers or other children is not recommended. B Put your baby on their back to sleep. C Babies should sleep in a crib or bassinet covered only...
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Non-Participating Provider Appeals & Disputes
https://www.caresource.com/providers/provider-portal/appeals/non-participating-provider-appeals-disputes/...Arbitration conducted pursuant to this code shall be binding on the parties. The arbitrator shall conduct a hearing and issue a final ruling within 90 calendar days of being selected,...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...We strive to limit the administrative burden while advocating for member access to quality behavioral health care. Behavioral health services are covered by HAP CareSource™ and Prepaid Inpatient Health Plans...
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2025 DSNP Extended Benefits
https://www.caresource.com/plans/dsnp/2025-extended-benefits/...Benefits that Benefit You Your CareSource Dual Advantage plan is designed to offer the best care while saving you money. Here’s a breakdown of your 2025 coverage. Pharmacy Pharmacy $0...
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Drug Transition Policy
https://www.caresource.com/plans/mycare-snp/benefits-services/pharmacy/drug-transition-policy/...by the plan that may work just as well for you. You can ask for an exception. You and your provider can ask the plan to make an exception and...
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Collaborative Care Model (CoCM) Initiative
https://www.caresource.com/providers/education/patient-care/behavioral-health/about-the-collaborative-care-model-cocm-initiative/...CoCM team is led by the primary medical provider (PMP), supported by a behavioral health care manager and a psychiatric consultant. The team implements a care plan based on evidence-based...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...do business with you and want to communicate these changes to you in an efficient manner. Please note: The links below are in PDF format. If you do not have...
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