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Drug Transition Policy
https://www.caresource.com/plans/mycare/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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Ending or Changing Membership
https://www.caresource.com/plans/mississippi-chip/ending-or-changing-membership/...Services at 1-833-230-2050 (TDD/TTY: 711), Monday through Friday, 7 a.m. to 8 p.m. Central Time (CT). Children’s Health Insurance Program (CHIP) members can disenroll or change plans: During the first...
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Next Generation MyCare
https://www.caresource.com/plans/mycare-snp/You + CareSource. Better Together. Managing your Medicare and Medicaid benefits can be overwhelming, but with our new CareSource® MyCare Ohio (HMO D-SNP) plan, you can not only simplify your...
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HIPAA Privacy Practices
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/...Health Link (Medicare-Medicaid Plan) Ohio CareSource Dual Advantage™ (HMO D-SNP) CareSource® MyCare Ohio (HMO D-SNP) MyCare Ohio (Medicare-Medicaid Plan) TRICARE Prime® Demo Plans TRICARE Prime Demo Sharing Health Data Third-Party...
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Executive Leadership
https://www.caresource.com/about-us/executive-leadership/...truly feel valued. 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...
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Quick Start Steps for New Members
https://www.caresource.com/members/tools-resources/quick-start-guide/quick-start-steps/...to be in the CareSource nework. Make sure the health care providers you plan to use are in the CareSource network. In most cases, CareSource does not pay for charges...
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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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Make A Payment
https://www.caresource.com/members/tools-resources/make-a-payment/...be used no matter which Marketplace plan you enroll in! The government decides if you qualify based on your household size and estimated income which can be up to 400%...
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Non-Participating Provider Appeals & Disputes
https://www.caresource.com/providers/provider-portal/appeals/non-participating-provider-appeals-disputes/...same service. Non-contracted providers have the right to request a reconsideration of the plan’s denial of payment: Non-contracted providers have 60 calendar days from the remittance notification date to file...
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Medical Benefits
https://www.caresource.com/plans/dsnp/benefits-services/medical-benefits/...member of our plan you must use network providers to get your medical care and services. View Chapter 3 Using the plan for your medical and other covered services in...
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