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Care & Disease Management
https://www.caresource.com/plans/medicaid/benefits-services/care-disease-management/...frail, you have more benefits in the HIP State Plan. This will include benefits like dental and vision. HIP Basic does not have standard dental and vision benefits. You may...
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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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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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Behavioral Health
https://www.caresource.com/plans/medicaid/benefits-services/behavioral-health/...list above and click the GO button. This is not a complete list of benefits. See your member handbook or call Member Services for details. Benefits may change on January...
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Health Care Terms
https://www.caresource.com/members/education/health-care-terms/...be for mental health and/or substance use needs. Intensive Home-Based Treatment (IHBT) IHBT is a mental health service for young people. IHBT brings care to the youth’s home and school....
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Waiver Services
https://www.caresource.com/plans/mycare/benefits-services/waiver-services/...in a MyCare Ohio plan. Meet an intermediate or skilled level of care as determined by the State of Ohio rules. Waiver services include a variety of services including: Personal...
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How To Get Help With Drug Costs
https://www.caresource.com/plans/mycare-snp/benefits-services/pharmacy/drug-cost-help/...monthly plan premium will be lower than what it would be if you did not get extra help from Medicare. If you get Extra Help, your monthly plan premium will...
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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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Vision
https://www.caresource.com/providers/education/patient-care/vision/...requirements and processes. Vision Provider Manual This manual serves as a link between your office and Superior Vision. Utilize it for information on topics such as benefits, claim submission, ophthalmic...
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Medical Benefits
https://www.caresource.com/plans/dsnp/benefits-services/medical-benefits/...as outpatient x-rays. This information is not a complete description of benefits. View Chapter 4 Medical Benefits (what is covered) of your Evidence of Coverage (EOC) on the Plan Documents...
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Plan b