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HIP Costs & Payments
https://www.caresource.com/plans/medicaid/hip-costs-payments/...than FPL (100% and below FPL) HIP State Plan Plus members earning less than the FPL and who stop making monthly PAC will be moved to HIP State Plan Basic....
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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...Plan Documents page. For more information about exceptions, appeals and complaints review your Part D Prescription Drug Plan Rights. What if I am taking a drug not on the formulary?...
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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...providers using guidelines from the Indiana Office of Medicaid Policy and Planning (OMPP) and the National Committee for Quality Assurance (NCQA).CareSource credentials providers using guidelines from the Indiana Health Coverage...
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Student Program
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacy-community-programs/student-program/...Demonstrate the ability to analyze appropriate treatment plans Collaborate with the Pharmacy team to learn about different roles and responsibilities of managed care pharmacists Present new and upcoming pipeline drugs...
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Pharmacy Community Programs
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacy-community-programs/...of pharmacy. Connecting with our communities as a plan is integral in providing better care for our members. CareSource values our pharmacy community, through working with students, residents and pharmacists...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/...Leveling for Facility Claims Epidural Steroid Injections Epidural Steroid Injections F Facet Joint Interventions Facet Joint Interventions Facet Medial Branch Nerve Blocks Family Planning G General Payment Methodology Genetic Testing-...
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Rights & Responsibilities
https://www.caresource.com/plans/dsnp/plan-documents/rights-responsibilities-dsnp/Member Rights As a member of our health plan, you have the right to: We must provide information in a way that works for you (in languages other than English,...
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Scott Markovich, Executive Vice President, Markets & Products
https://www.caresource.com/about-us/executive-leadership/scott-markovich-executive-vice-president-markets-products/Scott Markovich oversees all CareSource health plans to support member growth, provider strategies and health plan performance. He also leads the product strategy as it relates to managing individuals with...
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CareSource Compliance Snapshot
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/caresource-compliance-snapshot/CareSource is proud to implement a corporate compliance plan that stresses personal, professional, ethical, and legal standards. The compliance plan and code of conduct demonstrates the principles and values by...
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Drug Transition Policy
https://www.caresource.com/benefits-services/pharmacy/drug-transition-policy/...of your membership and your medication is not on your new plan’s covered drug list (formulary) or coverage is limited in some way, such as prior authorization, step therapy, or...
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