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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...and additional resources: Clinical Practice Registry Guide Comprehensive Primary Care & Comprehensive maternal Care Reference Guide Electronic Visit Verification FAQs Electronic Visit Verification Requirements Next Generation Managed Care: Prior Authorization...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/Florida TRICARE Florida TRICARE Learn More Georgia TRICARE Georgia TRICARE Learn More Michigan Michigan Learn More Mississippi Mississippi Learn More North Carolina North Carolina Learn More Nevada Nevada Learn More...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/CareSource PASSE™ follows Arkansas Medicaid’s evidence-based Prescription Drug Program, Preferred Drug List (PDL) and Prior Authorization Criteria. Search Tips: To access the downloadable Preferred Drug List and Prior Authorization Criteria...
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Your Diabetes Health Plan
https://www.caresource.com/plans/marketplace/plan-documents/your-diabetes-health-plan/...Need More Information? Call Member Services at 1-833-230-2099 (TTY: 711) for help with your plan or finding an in-network provider or pharmacy. *Some drugs and services require pre-authorization from us...
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Your Healthy Heart Plan
https://www.caresource.com/plans/marketplace/plan-documents/your-healthy-heart-plan/...for help with your plan or finding an in-network provider or pharmacy. *Some drugs and services require pre-authorization from us before you get them. Check the Drug Formulary. Congratulations on...
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Student Program
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacy-community-programs/student-program/...waste, and abuse (FWA) To enable future pharmacists to find formulary information and understand the purpose of prior authorizations To positively impact the next generation of pharmacists Expectations and Responsibilities...
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Mental Health And Wellness
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/mental-health-and-wellness/...Treatment and other special outpatient care, home-based care and more. You will need prior authorization for this care. Your provider will get this for you. 24-Hour Nurse Advice Line Call...
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Pharmacy Residency Program
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacy-community-programs/pharmacy-residency-program/...or quality improvement project and presentation at a national conference Formulary management, including policy writing and creating coverage criteria Clinical innovation program monitoring and creation Prior authorization review Teaching certificate...
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Comprehensive Formulary
https://www.caresource.com/plans/dsnp/pharmacy/drug-formulary/...of additional requirements are listed below: Prior Authorization Criteria – For certain drugs, your doctor will need to contact us before you can fill your prescription. 2025 Prior Authorization Criteria...
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Behavioral Health
https://www.caresource.com/plans/medicaid/benefits-services/behavioral-health/...the autism spectrum; prior authorization is required Counseling Individual, family and group sessions to talk it out; no prior authorization. Detoxification Treatment to help with your dependence on alcohol/drugs; prior...
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