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ARP Special Edition Broker Newsletter
https://www.caresource.com/producers/tools-resources/newsletters/arp-special-edition-broker-newsletter/With President Biden’s signing of the American Rescue Plan Act, there are some changes to the Marketplace program that are important for you to know. Summary Many Marketplace members will...
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Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/prior-authorization/...denial within 14 days. Your request must be approved before you get treatment or services. If you’re not approved, you may have to pay for the entire cost of your...
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Benefits & Services
https://www.caresource.com/plans/tricare-prime-demo/benefits-services/...every two years. Dental Care If you get your dental benefits through TRICARE, they are provided through United Concordia. Call 844-653-4060 to learn more. Pharmacy Your pharmacy benefits are provided...
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Additional Services
https://www.caresource.com/plans/mycare-snp/benefits-services/additional-services/Whether you have CareSource MyCare Ohio for both Medicare and Medicaid or for Medicaid only, these extra benefits are available because you are a CareSource member. Dental, Vision and Hearing...
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HIPAA PRIVACY PRACTICES
https://www.caresource.com/about-mstc/legal/hipaa-privacy-practices/...Example: We share information about you with your dental plan to arrange payment for your dental work. How else can we use or share your health information? We can or...
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HIPAA Privacy Practices - Kentucky Marketplace
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky-marketplace/...health information as we pay for your health care. Example: We share information about you with your dental plan to arrange payment for your dental work. How else can we...
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...provider’s office staff not treating you fairly. Not being satisfied with the quality of care you received. A partial approval to cover a service. A service payment denial. A surprise...
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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/...ask how care is reviewed. You can ask about: Preservice review Urgent concurrent review Post service review Filing an appeal We do not reward providers or our staff for denying...
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Care & Disease Management
https://www.caresource.com/plans/medicaid/benefits-services/care-disease-management/...frail, you have more benefits in the HIP State Plan. This will include benefits like dental and vision. HIP Basic does not have standard dental and vision benefits. You may...
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Rewards
https://www.caresource.com/plans/medicaid/benefits-services/rewards/...program. Sign your child up for Kids First to start earning rewards. Here is how your child can earn rewards: Activity Who’s Eligible Rewards* Routine Dental Exam Children 18 months...
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