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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/...services. We want you to get the care you need. We can get you an interpreter if you or your family’s primary language is not English. We can also help...
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Care & Disease Management
https://www.caresource.com/plans/medicaid/benefits-services/care-disease-management/...not agree with our decision. Right Choices Program If you are enrolled in RCP, you will be sent a letter explaining the program. You are assigned one primary medical provider...
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Plan Documents
https://www.caresource.com/plans/plan-documents/...which services need a prior authorization before you can get them. 2022 Prior Authorization List (Updated 10/01/2021) Usually your primary care provider (PCP) will ask for prior authorization from us...
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Pharmacy
https://www.caresource.com/benefits-services/pharmacy/...We are open 9 a.m. to 5:30 p.m. Monday through Friday. Comprehensive Drug Formulary CareSource MyCare Ohio uses a Comprehensive Formulary. The list shows the drugs we want your primary...
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MyHealth
https://www.caresource.com/members/education/myhealth/CareSource offers MyHealth as a benefit to members ages 18 and older. Through MyHealth, you have access to: Interactive health assessments. Personalized health tools, guides and videos. Online tools to...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...providers. GA LIP enrollees must get their medicines filled at one pharmacy and use their primary care provider for medical care. If you would like to refer someone to be...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/Quick References COVID-19 information Pharmacy information, including our Preferred Drug Lists (PDLs) Medical, pharmacy, reimbursement and administrative policies We strive to make partnering with us simple. We’re aware things may...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...portal. HIV Resources The Ryan White HIV/AIDS Program (RWHAP) provides a comprehensive system of HIV primary medical care, medication and essential support services to more than half a million people...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...from the date of birth. In most cases, the newborn’s name will appear on the primary care provider’s member eligibility list for the month following the birth. Please contact Provider...
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Plan Documents
https://www.caresource.com/plans/dsnp/plan-documents/...list to see which services need approval before you can get them. 2025 Prior Authorization List Last updated on 01/01/2025 Usually, your primary care provider (PCP) will ask for prior...
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