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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here. # A B C D E F G H I...
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Rights and Responsibilities
https://www.caresource.com/plans/caresource-passe/plan-documents/rights-responsibilities/...your life. Be protected in the community. Voice complaints and appeals about CareSource PASSE or the care we provide. Get all written member information from CareSource PASSE: At no cost...
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/To see information specific to your plan, please select your state and plan. Your Membership Rights As a member of CareSource you have the following rights and responsibilities. These are...
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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...to keep information current. 2022 Comprehensive Formulary ( English | Spanish (Updated 12/01/2022) – for Ohio only) For information about changes to our formulary, please review the Notice of Formulary...
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State Fair Hearings
https://www.caresource.com/members/tools-resources/grievance-appeal/state-fair-hearings/...letter. How do you ask for a State Fair Hearing? Address: DHS Office of Appeals and Hearings, P.O. Box 1437, Slot S101, Little Rock, AR 72203-1437 Phone: 501-682-8622 Fax: 501-404-4628...
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HIP Tobacco Use Surcharge
https://www.caresource.com/plans/medicaid/hip-tobacco-use-surcharge/...a tobacco user? You tell us if you are a tobacco user when you join or apply for Healthy Indiana Plan (HIP). We may send you information about how you...
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Grievances
https://www.caresource.com/members/tools-resources/grievance-appeal/grievance/...name, your member ID number, your address, phone number and any information that helps explain your problem. Mail the form or letter to: CareSource Attn: Member Grievance & Appeals P.O....
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appeals information