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Drug Transition Policy
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-transition-policy/...For those members who are new or who were in the plan last year and aren’t in a long-term care (LTC) facility: We will cover a temporary supply of your...
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ARP Special Edition Broker Newsletter
https://www.caresource.com/producers/tools-resources/newsletters/arp-special-edition-broker-newsletter/...communications pieces members will receive. Key Points to Know Members who may not have qualified for APTC before may qualify now. This generally includes members whose income was too high...
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Vendor Compliance FAQ
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/frequently-asked-questions/The frequently asked questions below are intended to help First Tier, Downstream and Related Entities (FDR) understand and manage their compliance efforts. Please click on the expandable menus below to...
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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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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/...Use the Tell Us form at CareSource.com/MemberInquiry. A UM staff member who calls will say their name, title, and company (CareSource). Staff are available to accept collect calls about UM...
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CareSource Life Services®
https://www.caresource.com/members/tools-resources/life-services/...for you to help you reach your goals. You’ll be paired with a Life Coach who can get you ready for success. Life Coaches give one-on-one coaching for up to...
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Electronic Visit Verification
https://www.caresource.com/providers/education/patient-care/electronic-visit-verification/...telehealth and billed with the Place of Service Code – 02. Live-in Caregiver: A direct care worker who lives in the same household as individual receiving services. Direct care workers...
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Understanding Your Costs
https://www.caresource.com/members/tools-resources/understanding-your-costs/...pay, but it can influence the amount you have to pay. If you go to a provider who charges more for services than others, the portion you have to pay...
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HAP CareSource Plans
https://www.caresource.com/plans/medicaid/benefits-services/hap-caresource-plans/...citizen A documented noncitizen who has been admitted for permanent residence A noncitizen legally admitted migrant farm worker In addition: Children must be under the age of 26. Those who...
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DRUG TRANSITION POLICY
https://www.caresource.com/plans/mihealthlink/benefits-services/pharmacy/drug-transition-policy/...described below: For those members who are new or who were in the plan last year and aren’t in a long-term care (LTC) facility: We will cover a temporary supply...
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