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Plan Documents
https://www.caresource.com/plans/marketplace/plan-documents/...covered services, the health care services that are not covered by the plan, and the annual deductible, copayments, and coinsurance you must pay when you receive covered services. Select your...
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Request Patient Services
https://www.caresource.com/providers/tools-resources/request-patient-services/...obtain services that enable improved access to care. We make it easy for you to request services for your patients. See below for benefit information and instructions to obtain services...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...consolidated the information below. Member Billing Covered Services Providers may not bill members for any covered services, with the exception of copayments. Non-Covered Services A provider may, upon accepting a...
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Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/...Call Member Services at 1-800-488-0134 (TTY: 711). We are open Monday through Friday, 7 a.m. to 8 p.m. Covered Services CareSource covers all medically necessary covered services. For a full...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...request. This is called therapeutic interchange. Home Infusion Therapy CareSource offers home infusion services to members who require treatment with certain injectable drugs. These services allow members to schedule and...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/...both the State Plan approved services, as well as several extra benefits services. Extra benefits services are additional services outside of the standard Medicaid benefits package and are subject to...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/Let us know if you are unhappy or do not agree with a decision made by us or our providers. We want to make it right. Please call Member Services...
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Opioid Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/opioid-toolkit/...– Utilization and education Benefits Behavioral Health Covered Benefits and Services – Behavioral health covered services per market and product Provider Clinical Tools and Resources Controlled Substance Report – CareSource...
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Benefits & Services
https://www.caresource.com/plans/georgia-pathways-to-coverage/benefits-services/...services. CareSource covers all medically necessary Medicaid-covered services. Georgia Pathways to Coverage members have no copay. You may need to pay for non-covered services. For more information, refer to your...
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Contact Us
https://www.caresource.com/providers/contact-us/...of the Ombudsman: is free of charge. is a neutral, independent advocate for CareSource members. helps coordinate services with local community/advocacy organizations. (This includes both covered and non-covered services.) provides...
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