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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Pharmacy Prior Authorization Request Form – Submit this form to request prior authorization to prescribe specialty pharmacy medications, as outlined in the CareSource member’s plan Preferred Drug List (PDL). Synagis...
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Fitness Benefits
https://www.caresource.com/plans/dsnp/benefits-services/fitness-benefits/...is provided by American Specialty Health Fitness, Inc., (ASH Fitness), a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit is a registered trademark of ASH and used with permission herein....
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Scott Markovich, Executive Vice President, Markets & Products
https://www.caresource.com/about-us/executive-leadership/scott-markovich-executive-vice-president-markets-products/...regulatory agencies. A seasoned government programs executive, Scott brings 25 years of experience in managing health plan P&L, developing provider networks, building specialty health plans and overseeing financial reporting. In...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...
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Eric Van Allen, President, Arkansas Market – CareSource PASSE™
https://www.caresource.com/about-us/executive-leadership/eric-van-allen-president-arkansas-market-caresource-passe/...he served in multiple leadership roles for Beacon Health Options including as CEO for Beacon Kansas and in program development nationally, including Arkansas, where he led the expansion of specialty...
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School Based Health Centers (SBHC)
https://www.caresource.com/members/tools-resources/where-to-get-care/school-based-health-centers-sbhc/What’s a SBHC? SBHCs are medical clinics that offer healthcare services to students and staff. The clinics are either within the school or on school property. Primary care and/or specialty...
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RIGHTS & RESPONSIBILITIES
https://www.caresource.com/plan-documents/rights-responsibilities/...network of primary and specialty providers who are capable of meeting your needs with respect to physical access, and communication and scheduling needs, and are subject to ongoing assessment of...
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Dental
https://www.caresource.com/plans/dsnp/dental-vision-and-hearing/dental/...Medicare by selecting Dual Special Needs from the list. Lastly, filter the Specialty column by selecting Dentistry. Call DentaQuest at 1-855-388-6252 (TTY: 711). Dental Coverage CareSource Dual Advantage™ (HMO D-SNP)...
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Prescription Drug Coverage
https://www.caresource.com/plans/dsnp/pharmacy/drug-coverage/...8 a.m. to 8 p.m. Monday through Friday, and from October 1 through March 31 we are open the same hours, seven days a week. *Certain medications called specialty medications...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/Review the various errors below to understand how to correct and resubmit. When viewing your 277CA, all CareSource rejections will have a Claim Status Category Code of A7. The second...
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