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Staying Safe From Infections
https://www.caresource.com/members/education/preventive-care/staying-safe-from-infections/...services that can help keep your family healthy. These are at no cost to you! Check them out below: Find a Doctor Tool Looking for a primary care provider (PCP)?...
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Substance Use Disorder
https://www.caresource.com/members/education/behavioral-health/addiction-help/...provider may prescribe medicine. This can be to help with withdrawal issues. This is not a full list. View your Member Handbook or call us to learn more. Not Ready...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/...Update For 2025, CareSource Marketplace Plans feature the following benefits: TruHearing® provider network for hearing services is included with all plans. EyeMed® provider network for vision services on all plans...
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Electronic Visit Verification
https://www.caresource.com/providers/education/patient-care/electronic-visit-verification/...service Time the service begins and ends Provider types and list of the specific services that fall into each phase below can be found here. Ohio Department of Medicaid: EVV...
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Pharmacy
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/...over-the-counter (OTC) medications. They use a preferred drug list (PDL) which is a list of drugs they prefer your provider prescribe. Please call Gainwell Member Services at 1-833-491-0344 (TTY: 1-833-655-2437)...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/To learn more about appeals and how to file an appeal for your plan, choose your plan from the drop down list above, then click GO. An appeal is how...
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Drug Formulary Changes
https://www.caresource.com/providers/tools-resources/drug-formulary/drug-formulary-changes/...Provider Summary of PDL Changes Effective June 1, 2023 05/01/2023 Provider Summary of PDL Changes Effective April 1, 2023 03/01/2023 Provider Summary of PDL Changes Effective January 1, 2023 12/01/2022...
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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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Plan Documents
https://www.caresource.com/plans/plan-documents/...Ottawa, Paulding, Perry, Pike, Preble, Putnam, Ross, Scioto, Vinton, Warren, Washington 2022 CareSource Advantage (Updated 10/01/2021) Provider and Pharmacy Directory The Provider and Pharmacy Directory is a listing of the...
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Find a Doctor's Professional Training
https://www.caresource.com/members/tools-resources/where-to-get-care/find-doctors-professional-training/...tool lists specialties, addresses, phone numbers and languages they speak. Our Find A Doctor/Provider tool lists specialties, addresses, phone numbers and languages spoken. Our Find A Doctor/Provider tool lists specialties,...
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