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Transportation
https://www.caresource.com/plans/dsnp/benefits-services/additional-services/transportation/Your Transportation Options: Scheduling a Ride: Request at least 2 business days prior to the date of needed transportation. Wheelchair accessible rides are available. Let us know if this is...
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Contact Us
https://www.caresource.com/members/contact-us/...ID card. Get printed copies of any member materials. Find out if a service needs prior approval. File a complaint about CareSource PASSE, a provider, or if you think you...
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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/...issues. Staff are accessible to callers who have questions about the UM process. You can call us about: UM for prior authorization (pre-approval) requests Any other UM issues and concerns...
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Pharmacy
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/...any coverage limitations like prior authorization or step therapy restrictions. CareSource helps you pay for covered prescription drugs and prescription medical supplies at the pharmacy. You may have a deductible...
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Tools & Resources
https://www.caresource.com/providers/tools-resources/...and more. VIEW FORMS Procedure Code Lookup Tool Look up CPT and HCPCS codes to determine if prior authorization is required. Procedure Code Lookup Tool Provider Manual Find information on...
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Archived Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/archived/...Y Z A Abortion Abortion Abortion Acute In-Patient Detoxification (Opioid) PA Criteria Acute In-Patient Detoxification (Opioid) Prior Authorization Criteria Applied Behavior Analysis (ABA) Applied Behavior Analysis for Autism Spectrum Disorder...
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OhioRISE
https://www.caresource.com/ohiorise/...role of CANS in determining OhioRISE eligibility. This flier can be distributed by CANS assessors prior to or at the time of a CANS assessment. Care Coordination Portal Access Training...
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Eric Van Allen, President, Arkansas Market – CareSource PASSE™
https://www.caresource.com/about-us/executive-leadership/eric-van-allen-president-arkansas-market-caresource-passe/...market and product growth opportunities. Eric brings more than 25 years of health care experience, developing behavioral health and wellness programs and supporting Medicaid-funded social service systems. Prior to CareSource,...
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Drug Transition Policy
https://www.caresource.com/plans/mycare-snp/benefits-services/pharmacy/drug-transition-policy/...90 days of your membership and your medication is not on your new plan’s covered drug list (formulary) or coverage is limited in some way, such as prior authorization, step...
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RESPONSIBLE DISCLOSURE STATEMENT
https://www.caresource.com/about-mstc/legal/responsible-disclosure-statement/...about a violation of our standards of conduct or policies and procedures. Please review the following prior to submitting: We ask that you work with us to diagnose and correct...
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