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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...referenced above: Log on to CAQH using your account information. Select the Authorization tab. Make sure CareSource Medicaid Ohio isCareSource Marketplace Ohio isCareSource Advantage Zero Premium and CareSource Advantage Ohio...
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Plan Documents
https://www.caresource.com/plans/mihealthlink/plan-documents/...authorization using the Prior Authorization Request Form. If you have questions about the prior authorization process or status, please call 1-833-230-2057 (TTY: 1-833-711-4711 or 711), 8 a.m. to 8 p.m.,...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...Next Generation Managed Care: Prior Authorization and Claims Quick Reference Guide ODM Telehealth Billing Provider Reference Guide Opioid Tool Kit Provider Attestation FAQs Provider Immunization Guide Provider Portal: Assessments and...
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Plan Documents
https://www.caresource.com/plans/mycare/plan-documents/...before you can get them. 2025 Prior Authorization List Your provider can submit a request for a prior authorization using the Prior Authorization Request Form. If you are seeing a...
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Plan Documents
https://www.caresource.com/plans/mich/plan-documents/...take care of this for you. View the full list of services that need prior authorization. 2026 Prior Authorization List Your provider can submit a request for a 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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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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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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authorizATION