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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/...to Medicare Advantage plans and the MyCare Ohio (Medicare-Medicaid) plan. These administrative policies apply to Medicare Advantage plans. These administrative policies apply to CareSource® Dual Advantage™ (HMO SNP) plans, and...
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Caregiver Tools
https://www.caresource.com/members/tools-resources/caregiver-resources/caregiver-tools/...conditions, behavioral health and healthy living from the Education page. Access your plan webpages for the Member Handbook, benefits and services and other plan information. My CareSource Members can use...
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Medication Therapy Management
https://www.caresource.com/members/tools-resources/find-my-prescriptions/medication-therapy-management/...Medication List and Medication Action Plan by mail. Quarterly targeted medication reviews. Follow-up steps as necessary. Who Can Be in the Program? CareSource members who have chronic health conditions and...
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Provider Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/...pages may not be inclusive of all applicable provider policies. Some benefit management services are provided on behalf of CareSource. Please reference applicable lab policies and musculoskeletal and cardiac surgical...
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Forms
https://www.caresource.com/members/tools-resources/forms/...that should have been covered under your CareSource plan Coverage Determination Request Form online or hard copy If you believe you are entitled to payment or benefits on a certain...
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Newsletters & Communications
https://www.caresource.com/providers/education/newsletters-communications/Stay Informed and Explore New Ways to Work with Us CareSource® publishes newsletters so you can stay informed about plan news and explore new ways to work with us to...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...care partners as well as between behavioral health care partners. Member Support Services Representatives are available to answer member questions regarding UM. Representatives are available by telephone Monday through Friday,...
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Tools & Resources
https://www.caresource.com/members/tools-resources/Benefits & Services Benefits & Services See what is covered and how to make the most of your benefits. Benefits & Services Plan Documents Plan Documents Get your key member...
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Flu Shot
https://www.caresource.com/members/education/preventive-care/flu-shot/...by a different virus than the flu. COVID-19 is caused by the SARS-COV-2 virus and flu is caused by the Influenza A and Influenza B viruses. Symptoms Flu COVID-19 Fever/chills...
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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/...first before CareSource will cover it. This is called Step Therapy. Some medicines require permission (prior authorization) in order for it to be covered by your plan. The health partner...
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