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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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COVID-19 Updates
https://www.caresource.com/providers/tools-resources/updates-announcements/covid-19-updates/...Active COVID-19: Temporary Change to Prior Authorization for Transition to Post-Acute Care – UPDATE 11/05/2021 Expired COVID-19: Medicare Billing Vaccination Billing Guidance 11/04/2021 Active COVID-19: Temporary Change to Prior Authorization...
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Plan Documents
https://www.caresource.com/plans/plan-documents/...easily locate all the forms you may need for your CareSource Medicare Advantage plan. Visit the Forms page to find any form when you need it. Prior Authorization List Some...
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Plan Documents
https://www.caresource.com/plans/mycare/plan-documents/...here (json) Forms Visit the Forms page to find forms when you need them. Prior Authorization List Some services require approval from CareSource MyCare Ohio before you can get them....
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Caregiver Resources
https://www.caresource.com/members/tools-resources/caregiver-resources/...TrueCare™ on behalf of a member, you will need written consent. Member Consent/HIPAA Authorization Form: This form will give us permission to speak with a caregiver about a member’s medical,...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...Fill out the Grievances and Appeals form. Mail us a letter. Mail the letter to: CareSource PASSE Attn: Member Grievances P.O. Box 1947 Dayton, OH 45401-1947 Who can ask for...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...needs and taking appropriate action Providing phone coverage for handling patients’ calls 24/7 Following all referral and prior authorization policies and procedures as outlined in the Provider Manual Complying with...
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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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Pharmacy
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/...Formulary (or just Formulary). Your Formulary is a list of cost-effective drugs that you might use. Drugs and devices on the Formulary are covered for you, but sometimes limits apply....
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authorization form