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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/...For Hoosier Healthwise (HHW) Members You have the right to change your health plan at certain times of the year. You can change your plan: During the first 90 days...
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Comprehensive Formulary
https://www.caresource.com/plans/dsnp/pharmacy/drug-formulary/...Comprehensive Formulary Last updated on 12/01/2025 For information about changes to our formulary, please review the Notice of Formulary Changes below. For the most up-to-date formulary information, use our online...
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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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Plan Documents
https://www.caresource.com/plans/marketplace/plan-documents/...Coverage and Medical Terms Forms We want you to easily find the forms you need for your CareSource marketplace plan. Visit the Forms page to find any form when you...
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Contact Us
https://www.caresource.com/members/contact-us/...Start page. Explore healthy living on the Education pages. Use the online Tell Us form to send us your question or request. You will get a response within one business...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...(TTY: 711) to speak with a pharmacist today. Changes to the Drug List Notification Date Posted Unified PDL Changes Effective July 1, 2026 06/01/2026 Unified PDL Changes Effective April 1,...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/...Form Submit this form to request continuation of care for orthodontic services. Orthodontic Evaluation and Predetermination Form Submit this form to request prior authorization for orthodontic services. Orthodontic Form for...
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Plan Documents
https://www.caresource.com/plans/dsnp/plan-documents/...your plan. 2025 Comprehensive Formulary Last updated on 12/01/2025 Notice of Formulary Changes – Throughout the year, changes may occur to drugs on our formulary. Check this list to view...
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Training & Events
https://www.caresource.com/providers/education/training-events/...learning management system (LMS) called HealthPlanResources.com where we house and manage our custom education program. All live training sessions are hosted and recorded, then posted to this platform for viewing...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/All CareSource members choose or are assigned to a primary care provider (PCP) when they enroll in the plan. They can change to another network PCP as often as needed....
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change request form