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Health Care Terms
https://www.caresource.com/members/education/health-care-terms/...Pharmacological Management When you work with your provider to make sure your medicines are working, like reviewing and changing your dosage. Prior Authorization Approval that may be needed before you...
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Tobacco Cessation Toolkit for Behavioral Health Providers
https://www.caresource.com/providers/education/patient-care/behavioral-health/tobacco-cessation-toolkit-for-behavioral-health-providers/...mental illness (SMI) have a high smoking prevalence, low quit rates, and may not have tobacco treatment considered a priority within the Behavioral Health setting. These materials are intended for...
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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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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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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/...prior approval. File a complaint about CareSource PASSE, a provider, or if you think you have been discriminated against. Accommodations Are you or someone you care for a CareSource PASSE...
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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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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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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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Welcome To CareSource
https://www.caresource.com/welcome-to-caresource/Thank you for choosing us! We want you to be happy with your coverage. Use our online self-service tools anytime 24/7. You can also call Member Services when you have...
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