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Clinical Innovation
https://www.caresource.com/providers/education/patient-care/pharmacy/clinical-innovation/...email rDUR@CareSource.com with the subject line “Clinical Programs Inquiry”. To see your patients medical and prescription claims data, please visit our CareSource provider portal: Provider Portal The Clinical Innovation Team...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...prescriptions Use pain medications they do not need Share their ID card with someone else Don’t tell us that they have other health insurance Get equipment and supplies they don’t...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...prescription drugs inconsistent with the order Submitting claims for a more expensive brand drug when a less expensive generic prescription is dispensed Dispensing less than the prescribed quantity without arranging...
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Drug Transition Policy
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-transition-policy/...covers a one-time, temporary supply of a non-formulary drug. CareSource extends up to a one-month transition supply of medication (unless the prescription is written for fewer days) to members for...
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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...Changes below. For the most up-to-date formulary information, use our online Find My Prescriptions tool. Visit the Plan Documents page to view important documents about prescription drug benefits. 2022 Tier...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...
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Welcome
https://www.caresource.com/plans/marketplace/welcome/...CareSource Plan or a different plan): Use Find A Doctor to find out if your Primary Care Provider (PCP) is in-network, or choose a new PCP. Use Find My Prescriptions...
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Pharmacy
https://www.caresource.com/plans/mich/benefits-services/pharmacy/HAP CareSource MI Coordinated Health partners with Express Scripts® to help you manage your prescriptions. Prescription Drug Benefits With HAP CareSource MI Coordinated Health, you get more of the medications...
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Pharmacy
https://www.caresource.com/plans/mycare-snp/benefits-services/pharmacy/...Scripts® to help you manage your prescriptions. Drug Search: Check coverage and price of medication. Pharmacy Search: Find a pharmacy near you. Mail Order Drugs: Get prescriptions delivered to your...
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MA-Dual Special Needs
https://www.caresource.com/plans/dsnp/...delivered directly to you at no extra cost for many prescriptions. Dental Dental $4,000 annual allowance for preventative services such as oral exams and cleanings as well as services like...
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PresCRiption