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Dental
https://www.caresource.com/providers/education/patient-care/dental/...to access Delta Dental’s capabilities specifically for routine dental services. CareSource® covers dental services for our MyCare Ohio (Medicare-Medicaid Plan) members. Our dental providers can access the following tools to...
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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...CareSource will work with you to keep getting your planned current care. We can help with continuing care if: You are new to CareSource. Your provider has left the network....
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Bronze Plans
https://www.caresource.com/plans/marketplace/plan-documents/bronze-plans/...that describes the relationship between CareSource and CareSource members. It serves as your contract with CareSource and describes CareSource members’ rights, responsibilities and obligations. It also tells you how the...
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Pharmacy Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/pharmacy-policies/...Benefit Manager, Gainwell Technologies. Claims for pharmaceuticals billed by a pharmacy to CareSource will be denied. These pharmacy policies apply to the CareSource MyCare Ohio plan. The policies below are...
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Make a Payment
https://www.caresource.com/members/my-caresource-account/make-payment/...Payment: Make a one-time payment with no registration required. It is easy and secure. Go to CareSource.com/MPay to make a payment. Have your CareSource member ID card ready. You can...
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Clinical Innovation
https://www.caresource.com/providers/education/patient-care/pharmacy/clinical-innovation/...email rDUR@CareSource.com with the subject line “Clinical Programs Inquiry”. To see your patients medical and prescription claims data, please visit our CareSource provider portal: Provider Portal The Clinical Innovation Team...
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After Pregnancy
https://www.caresource.com/members/education/pregnancy/after-pregnancy/...recovering from delivery. Complications from delivery can happen up to a year after giving birth. Remember POST-BIRTH and check for these signs: Call 911 or get emergency care if you...
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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/...120 days of getting CareSource’s finding. Reviews are done within 90 days for standard reviews or within 72 hours for expedited (fast) reviews. This will be final and CareSource will...
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Provider Responsibilities
https://www.caresource.com/providers/education/health-equity/provider-responsibilities/...that social determinants of health are recognized as significant contributors to member outcomes and quality of life. CareSource PASSE adheres to the National Culturally & Linguistically Appropriate Standards (CLAS). The...
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Broker Service Department
https://www.caresource.com/producers/broker-service-department/...Black ryan.black@caresource.com 937-671-0032 Tony Caito tony.caito@caresource.com 440-341-6924 Krista Seaton krista.seaton@caresource.com 812-454-4715 CareSource has a dedicated Broker Services department to support our contracted individual producers throughout the agent lifecycle. We facilitate...
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