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Behavioral Health
https://www.caresource.com/plans/medicaid/benefits-services/behavioral-health/With the stresses of today’s world, our mental health is as important as our physical health. For this reason, CareSource offers behavioral health as part of your core benefits. This...
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Early and Periodic Screening Diagnostic and Treatment (EPSDT)
https://www.caresource.com/plans/medicaid/benefits-services/early-periodic-screening-diagnostic-treatment/...within 90 days of becoming a member. If you would like more information about the program, please contact our Member Services department at the number below. We can help you...
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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/...get, based on established criteria or guidelines. We review to make sure it is the best care for your needs. The UM department performs activities such as: prior authorization (PA),...
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Mental Health
https://www.caresource.com/members/education/behavioral-health/At CareSource PASSE we know that good health means more than just taking care of physical needs. It means addressing the health of mind, body and spirit. Suicide and Crisis...
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Find My Prescriptions
https://www.caresource.com/members/tools-resources/find-my-prescriptions/...find a copy of the PDL on the Ohio Department of Medicaid website or on the Gainwell pharmacy website. Please call Gainwell Member Services at 1-833-491-0344 (TTY: 1-833-655-2437) if you...
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Priorities
https://www.caresource.com/about-us/caresource-foundation/program-areas/...chronic diseases, and reduce emergency department use. Supporting older adults’ ability to age in their homes by reducing medical and fall risks, ensuring robust social supports, and access to regular...
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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/If you are not happy with CareSource, let us know. We want to make it right. You have the right to change to a different Georgia Families® Georgia Pathways to...
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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/To Find a Pharmacy near you, simply type in your city or zip code and follow the prompts. CareSource PASSE pays for all medically necessary, CMS participating, Medicaid-covered FDA-approved products...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/CareSource PASSE™ follows Arkansas Medicaid’s evidence-based Prescription Drug Program, Preferred Drug List (PDL) and Prior Authorization Criteria. Search Tips: To access the downloadable Preferred Drug List and Prior Authorization Criteria...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/We are excited to welcome you as a CareSource member and introduce some of the programs and tools that make CareSource more than just health insurance. We are Health Care...
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