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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...take with you, or tell you what to do. Standing Referral Members with ongoing care can see a specialist. A standing referral from a PCP is needed. Continuity of Care...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...01/14/2026 Telehealth: Updates to the OAC Rule 01/14/2026 PCP Name on Card: What You Need to Know 01/14/2026 December 2025 Policy Updates – REVISION 01/08/2026 January 7, 2026 Policy Updates...
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HIPAA Privacy Practices - Kentucky
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky/What is This Notice? This Notice of Privacy Practices is required by the Health Insurance Portability and Accountability Act (HIPAA) of 1996. This notice describes how medical information about you...
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Education
https://www.caresource.com/members/education/...to have what you need for your health. Behavioral Health Behavioral Health Find information for mental health and substance use disorder. Behavioral Health Newsletters Newsletters Learn about your plan and...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...have the best health care available. The CareSource Quality Improvement Program makes sure CareSource has what it needs to: Coordinate your care so you receive the right care when you...
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Early and Periodic Screening Diagnostic and Treatment (EPSDT)
https://www.caresource.com/plans/medicaid/benefits-services/early-periodic-screening-diagnostic-treatment/...PMP or prior authorization by CareSource. Learn more about prior authorization and referrals. Please note what is a PA and what is a referral: Prior Authorization (PA): Approval that may...
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Medicaid
https://www.caresource.com/plans/medicaid/...join over 1.4 million members who trust us with their health and well-being. COVER WHAT MATTERS We get it. You have a lot going on – and a family to...
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/...law. To be able to say no to treatment or therapy. If you or your parent/guardian say no, the doctor or CareSource must talk to you about what could happen....
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Open Enrollment Deadlines
https://www.caresource.com/plans/marketplace/open-enrollment-deadlines/...25th of each month before the start of the coverage month. For example, pay by February 25 for your March coverage. What Payment Options Are Available? We accept payments online,...
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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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