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Behavioral Health Carve-In
https://www.caresource.com/providers/education/patient-care/behavioral-health-carve-in/...enrolled as a provider type 95 (community substance use disorder program) with provider specialty 950 AND either licensed by OhioMHAS as a methadone treatment administration program (provider specialty 951) AND/OR...
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Clinical Innovation
https://www.caresource.com/providers/education/patient-care/pharmacy/clinical-innovation/...email rDUR@CareSource.com with the subject line “Clinical Programs Inquiry”. To see your patients medical and prescription claims data, please visit our CareSource provider portal: Provider Portal The Clinical Innovation Team...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...PDL. You can check the list of drug formulary changes to see if any of these changes affect the medications you prescribe. Additional Resources Provider Services: 1-833-230-2100 Provider Manual We...
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Understanding Your Costs
https://www.caresource.com/members/tools-resources/understanding-your-costs/...copays, non-covered or excluded care and services. Billed Amount This is the amount that your provider charges for the services they provide. This may not always be the amount you...
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Marketplace
https://www.caresource.com/plans/marketplace/...It all connects. That’s why we provide health benefits AND so much more. Job Support / Transportation / Healthy Food / Rewards for Healthy Choices CARESOURCE MARKETPLACE PLANS COVER ESSENTIAL...
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After Pregnancy
https://www.caresource.com/members/education/pregnancy/after-pregnancy/...changes Become depressed or have hallucinations, suicidal thoughts, or any thoughts of harming your baby Postpartum Checkup Visit your provider 3-6 weeks after delivery. They will make sure you are...
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CareSource Mobile App
https://www.caresource.com/members/tools-resources/caresource-mobile-app/...your digital member ID card Access your secure My CareSource® member portal account. Find a provider, hospital, or clinic near you and get directions. View your claims. Check your copays,...
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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...You can search for participating health partners using the Find a Doctor/Provider tool and schedule an appointment yourself. You can also check your provider directory for a list of participating...
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Health Care Terms
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/health-care-terms/...your provider to make sure your medications are working. This can be things like reviewing and changing your dosage. Psychiatric Diagnostic Evaluation A mental health provider looks at you and...
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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...Find a Doctor tool. This tool will show you: Primary care providers (PCPs) Primary dental providers (PDPs)/Dental Home Specialists Hospitals Download the machine-readable Provider Directory here (json) Member Materials Behavioral...
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