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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/CareSource MyCare Ohio allows individuals to select Medicaid only coverage from the plan managing their CareSource MyCare Ohio benefits. Individuals may choose to have CareSource MyCare Ohio either: Provide their...
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Education
https://www.caresource.com/members/education/...Preventive Care Planning Ahead Planning Ahead Planning Ahead for the future and the unexpected with advance directives and disasters. Learn how guardianship works. Planning Ahead Health Care Links Health Care...
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Pharmacist Provider Status
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacist-provider-status/...Therapy Management (MTM) network, visit. Some examples of plans for which pharmacists can bill for medically necessary services: Kentucky Marketplace plans West Virginia Marketplace plans Ohio Medicaid and Ohio D-SNP...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/...Update For 2025, CareSource Marketplace Plans feature the following benefits: TruHearing® provider network for hearing services is included with all plans. EyeMed® provider network for vision services on all plans...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...page. Preferred Drug Lists Click the link that corresponds to your member’s plan: Planning for Healthy Babies (P4HB) Family Planning PDL P4HB Inter-pregnancy Care (IPC) PDL Online Drug Formularies We...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...Chapter 9 of the Evidence of Coverage on our Plan Documents page. We have more detailed information on these pages: Medicare Advantage Part C Medical Plan Rights Medicare Advantage Part...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/...Hoosier Healthwise, Healthy Indiana Plan (HIP) Plus, HIP State Plus and HIP State Basic, and HIP Maternity plans. Depending on the patient’s plan, additional benefits may be covered, and some...
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Find My Prescriptions
https://www.caresource.com/members/tools-resources/find-my-prescriptions/...below to verify coverage, as well as check the costs of drugs and some supplies for CareSource insurance plans. If you are a member, your plan name is on your...
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Welcome
https://www.caresource.com/providers/welcome/...plans offered on and off the Exchange Operational excellence with industry-leading accuracy and timeliness Leading the way in innovations to serve complex populations Getting Started Working with Us Educational Resources...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...used by America’s health plans to measure important dimensions of care and service and allows for comparisons across health plans in meeting state and federal performance measures and national HEDIS...
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