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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...You leave CareSource. Member Services: 1-855-202-0729 (TTY: 711), open Monday through Friday 7 a.m. to 7 p.m. What is prior authorization? CareSource needs to pre-approve some services and prescription drugs....
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Select Primary Provider
https://www.caresource.com/members/my-caresource-account/select-primary-provider/...PCP button on the MyHelp menu. Then select from a list of providers in the CareSource network. They list is pre-sorted for your state and plan from the Find A...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...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 D Prescription Drug Plan...
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Make A Payment
https://www.caresource.com/members/tools-resources/make-a-payment/...while reserving the right to get back any amounts paid during this period. Reject prescription drug claims during the second and third months of grace period. You are responsible for...
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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/...services including dental and vision, please see your member handbook. Over-the-Counter (OTC) Items You can get many OTC drugs at no cost to you. You will need a prescription from...
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Quick Start Steps for New Members
https://www.caresource.com/members/tools-resources/quick-start-guide/quick-start-steps/...us. We can help you keep your care. Step 5 — Make Sure Your Prescriptions are on the CareSource Drug List. Use Find My Prescriptions tools to see what drugs...
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Referrals & Prior Authorization
https://www.caresource.com/plans/marketplace/benefits-services/referrals-prior-authorization/...state to view documents 2026 Prior Authorization List 2025 Prior Authorization List 2025 Prior Authorization List 2025 Prior Authorization List 2026 Prior Authorization List To learn more about prescription drugs...
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Welcome
https://www.caresource.com/welcome/...have details about what the plan covers, what drugs are covered and more. See Your Plan Documents Benefits at a Glance Benefits at a Glance See a list of all...
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Benefits & Services
https://www.caresource.com/plans/mycare/benefits-services/...and coverage. Formulary (List of Covered Drugs): A list of all drugs covered under your plan. Provider and Pharmacy Directory: A list of the participating (in-network) providers and pharmacies. You...
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Benefits & Services
https://www.caresource.com/plans/dsnp/benefits-services/...plan covers, how much you pay, and more. Summary of Benefits: Summary of key features about your plan like covered benefits and coverage. Comprehensive Formulary: A list of all drugs...
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Prescription Drug List