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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...your premium. Comply with all provisions of the policy that are outlined in the Certificate of Coverage. This includes Prior Authorization Know and confirm your benefits before receiving treatment. Show...
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Rights and Responsibilities
https://www.caresource.com/plans/caresource-passe/plan-documents/rights-responsibilities/...information on PASSE services that are offered by CareSource PASSE that include: Covered benefits and how to get them. If any benefits have prior authorization requirements. Take part in decisions...
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Join Our Network
https://www.caresource.com/providers/join_our_network/At CareSource, we bring true partnership to Georgia providers. As part of our network, you can expect accurate claims processing, efficient prior authorizations and the dedicated commitment of a nonprofit...
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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/...dentist and/or prior authorization from CareSource. Your dentist will make the request on your behalf. Depending on your plan, you may have more benefits. Please contact Member Services if you...
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Early & Periodic Screening, Diagnostic & Treatment Wellness Visits
https://www.caresource.com/members/education/health-care-links/early-periodic-screening-diagnostic-treatment/...a exam. Make sure to ask for a Healthchek exam when you call. Some of the tests and treatment services may need prior authorization. Mothers should have prenatal exams and...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...to verify procedures and payment mechanisms are compliant. Our proactive monitoring includes prepay review edits, prior authorization monitoring, analytic performance dashboard monitoring, and verification of services. Our reactive monitoring includes...
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Medication Therapy Management
https://www.caresource.com/members/tools-resources/find-my-prescriptions/medication-therapy-management/...more. Call Member Services to ask about our list of covered medications and those that need prior authorization. Medication Therapy Management, or MTM, is a service we offer at no...
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Medicare and Medicaid with MyCare Ohio
https://www.caresource.com/plans/mycare/benefits-services/medicare-medicaid/...(Periodontics)* Root Canals Routine Tooth Extractions Surgical Extractions* & Other Oral Surgery * Approval or prior authorization required. We cover routine eye exams and eyewear. If you are under the...
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Medicaid with MyCare Ohio
https://www.caresource.com/plans/mycare/benefits-services/medicaid-with-mycare-oh/...Canals Routine Tooth Extractions Surgical Extractions* & Other Oral Surgery * Approval or prior authorization required. We cover routine eye exams and eyewear. If you are under the age of...
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Drug Transition Policy
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-transition-policy/...the new calendar year, such as prior authorization or step therapy requirements. You can get a transition refill up to 90 days after enrolling in a new plan or after...
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Prior authorization