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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/...determined based upon a review of the actual services provided to a beneficiary and will be determined when the claim is received for processing. Providers and their office staff 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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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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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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Diabetes
https://www.caresource.com/plans/marketplace/diabetes/...benefits too! OTHER PLAN HIGHLIGHTS INCLUDE: A strong network of providers: including networks for diabetes targeted health systems and other provider specialties for complex symptom management. Specialist visits do not...
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After Pregnancy
https://www.caresource.com/members/education/pregnancy/after-pregnancy/...your baby Postpartum Checkup Visit your provider 3-6 weeks after delivery. They will make sure you are recovering, see how you are doing emotionally, answer questions and check on any...
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Medical Benefits
https://www.caresource.com/benefits-services__trashed/medical/...needed emergency services or CareSource specifically authorized the services. Use our Find a Doctor/ProviderFind a Doctor/ProviderFind a Doctor/ProviderFind a Doctor/ProviderFind a Doctor/Provider tool to see if your doctor is in...
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...provider. If a qualified network provider is not able to see you, HAP CareSource will set up a visit with a provider not in our network. You have the responsibility...
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Prescription Drug Formulary
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/preferred-drug-list/...costs less and works just as well for most people. You and your Provider may decide that the less costly drug is not a good fit for you. Your provider...
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Plan Documents
https://www.caresource.com/plans/dsnp/plan-documents/...10/01/2024 Provider and Pharmacy Directory The Provider and Pharmacy Directory lists the providers and pharmacies you can use. You can search for a provider or a pharmacy by clicking the...
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