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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...require prior authorization. Urgent Care – When a member is traveling outside the service area, urgent care received from a non-participating provider does not require prior authorization. Post-Stabilization – Prior...
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Request Patient Services
https://www.caresource.com/providers/tools-resources/request-patient-services/...discharged from the hospital Need to go to an urgent care Need to go to a provider for an urgent visit Members and providers should let us know if certain...
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CareSource Mobile App
https://www.caresource.com/members/tools-resources/caresource-mobile-app/...CareSource account. View your digital member ID card. Find a doctor, hospital, clinic, or urgent care near you. Call and speak with Member Services or CareSource24. View your claims, and...
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Medicare Prescription Payment Plan
https://www.caresource.com/plans/dsnp/pharmacy/drug-cost-help/mppp/...with us to update your address. Urgent Requests If you have an urgent prescription and you paid for it before you were accepted into the program, there is a process...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...internal appeal request involving urgent care, which may be requested in writing, verbally or electronically. All internal appeal requests must include the following information: The covered person’s name and identification...
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Transportation
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/transportation/...hospital, need to go to an urgent care, or need to go to your provider for an urgent visit. If you are pregnant, you can get an unlimited number of...
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Staying Safe From Infections
https://www.caresource.com/members/education/preventive-care/staying-safe-from-infections/...hotline to get answers to any urgent health-related questions. Our team of registered nurses is here to help! Call us at 1-866-206-0554 (TTY: 711). Did you know you can earn...
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Medical Benefits
https://www.caresource.com/benefits-services__trashed/medical/...urgent care, we encourage you to call your PCP for guidance, but this is not required. You should get urgent care from the nearest and most appropriate health care provider....
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Medicare Prescription Payment Plan
https://www.caresource.com/members/tools-resources/find-my-prescriptions/medicare-prescription-payment-plan/...P.O. Box 801101 Kansas City, MO 64180-1101 Urgent Requests If you have an urgent prescription and you paid for it before you were accepted into the program, there is a...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...The Medical Management department performs all utilization management (UM) activities including prior authorization, preservice review, urgent concurrent review, post service review, filing an appeal, discharge planning, and other activities. CareSource...
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Urgent