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Quality Improvement
https://www.caresource.com/members/tools-resources/quality-improvement/...to talk about changing the drugs if they make you sick or cause an allergic reaction. Don’t stop taking your medication until you talk to your doctor. Questions? Call Member...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...prescription drugs inconsistent with the order Submitting claims for a more expensive brand drug when a less expensive generic prescription is dispensed Dispensing less than the prescribed quantity without arranging...
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Make A Payment
https://www.caresource.com/members/tools-resources/make-a-payment/...while reserving the right to get back any amounts paid during this period. Reject prescription drug claims during the second and third months of grace period. You are responsible for...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/Our Provider Manual is a resource for working with our health plan. This manual communicates policies and programs and outlines key information, such as claim submission, and reimbursement processes, authorizations,...
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Pharmacy Overview
https://www.caresource.com/plans/dsnp/pharmacy/How to Get Help with Drug Costs Drug Transition Policy Find My Prescriptions Find a Pharmacy Medication Therapy Management Mail Order Drugs Medication Disposal Ask Your CareSource Pharmacist Do you...
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COVID-19 Updates
https://www.caresource.com/providers/tools-resources/updates-announcements/covid-19-updates/...Payment Policy for Immunizations Update 05/04/2022 Active COVID-19: Vaccination Program Additional Codes 02/25/2022 Active COVID-19: Oral Medications for Treatment 02/22/2022 Expired COVID-19: 2022 Vaccination Program Update 01/18/2022 Active COVID-19: 2022...
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Tools & Resources
https://www.caresource.com/producers/tools-resources/...to keep up on all the latest CareSource news, training announcements, and upcoming events. View Newsletters Search Prescriptions Search Prescriptions Find out if your client’s drugs are covered by our...
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HIPAA Privacy Practices - Kentucky
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky/...data to the Food and Drug Administration (FDA) to notify them of problems with products and reactions to medications. Coroners, Medical Examiners and Funeral Directors: Humana – CareSource may give...
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Provider Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/...More Medical Medical Medical policies provide guidelines for determining medical necessity and appropriate care for approved benefits. Read More Pharmacy Pharmacy Pharmacy policies provide guidelines for prescription drugs. Read More...
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drug policy