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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...providers in the HAP CareSource network. Network or in-network provider refers to the providers who accept HAP CareSource insurance and see patients who are covered through HAP CareSource. When you...
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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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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...the main activities performed by providers beginning Oct. 1, 2022. We encourage providers to review the Provider Journey Maps to understand from a high-level, how common activities are performed. Provider...
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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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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/...monitored, and members are assigned designated providers. GA LIP members must get their medicines filled at one pharmacy and use their primary care provider for medical care. Helpful terms to...
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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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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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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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Understanding Your Costs
https://www.caresource.com/members/tools-resources/understanding-your-costs/...the amount you owe. You will get an EOB in the mail from us after you visit a provider or fill a prescription. We negotiate rates with our network providers...
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Vision
https://www.caresource.com/providers/education/patient-care/vision/...(Versant) Frequently Asked Questions (FAQs) Contact Information Fax: 855-313-3106 Phone: 888-273-2121 Email: ecs@superiorvision.com Provider Portal Superior Vision Provider Routine Vision References The Superior Vision (Versant) routine vision references provide information...
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