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Drug Transition Policy
https://www.caresource.com/plans/dsnp/pharmacy/drug-transition-policy/...in the first 90 days of your membership and your medication is not on our covered drug list (formulary) or coverage is limited in some way, such as prior authorization,...
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Eating During Pregnancy
https://www.caresource.com/members/education/pregnancy/eating-during-pregnancy/...answers. By making nutrition a priority during pregnancy, you can help give your baby a healthy start in life. So pick up a fork and start reading! Good Nutrition Makes...
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Update Practice Information
https://www.caresource.com/providers/provider-portal/update-practice-information/...learn more about CareSource PASSE’s collaboration with BetterDoctor, view the BetterDoctor FAQs. Up-to-date contact information is critical to process your claims and prior authorization requests. In addition, it ensures our...
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Collaborative Care Model (CoCM) Initiative
https://www.caresource.com/providers/education/patient-care/behavioral-health/about-the-collaborative-care-model-cocm-initiative/...the regular clinic hours, if needed. Is there a specific enrollment process for providers? No, CareSource will identify eligible providers. Does this service require prior authorization? No, there are no...
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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/...711). We can help you: Learn about your benefits. Get a new member ID card. Get printed copies of any member materials. Find out if a service needs prior approval....
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Healthy Heart
https://www.caresource.com/plans/marketplace/healthy-heart/...and no annual or lifetime dollar limits for essential health benefits. Now, you can get these additional healthy heart benefits too! *Prior authorization or step therapy required. **Limit of one...
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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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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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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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