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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/Quick References COVID-19 information Pharmacy information, including our Preferred Drug Lists (PDLs) Medical, pharmacy, reimbursement and administrative policies We Strive to make partnering with us simple. We’re aware things may...
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Behavioral Health Carve-In
https://www.caresource.com/providers/education/patient-care/behavioral-health-carve-in/...available to individuals who meet certain financial criteria and have been diagnosed with a serious and persistent mental illness (SPMI). Individual eligibility and program enrollment criteria are detailed in Administrative...
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How to Get Help with Drug Costs
https://www.caresource.com/plans/dsnp/pharmacy/drug-cost-help/...fax or mail your BAE documentation: Fax to: 1-844-417-6258 Mail to: CareSource Dual Advantage Enrollment P.O. Box 1294 Dayton, OH 45401-1294 When we receive the evidence showing your copayment level,...
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Electronic Visit Verification
https://www.caresource.com/providers/education/patient-care/electronic-visit-verification/The 21st Century Cures Act directs state Medicaid programs to require providers of personal care services and home health services to use an electronic visit verification (EVV) system to document...
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Health Savings Accounts and HSA Bank
https://www.caresource.com/plans/marketplace/plan-documents/health-savings-accounts-and-hsa-bank/...link to HSA Bank Complete the enrollment process Take advantage of no monthly fees and access to the HSA Bank Client Assistance Center, available 24 hours a day, 7 days...
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2023 Over-The-Counter (OTC) Benefits
https://www.caresource.com/members/tools-resources/find-my-prescriptions/otc/...to you shortly after the new benefit year or upon enrollment. You can also view a copy of the catalog. Using the Quarterly OTC Benefit Your OTC allowance is available...
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Centralized Credentialing & Single Pharmacy Benefit Manager
https://www.caresource.com/providers/tools-resources/centralized-credentialing-single-pharmacy-benefit-manager/...provider enrollments and carry out centralized credentialing functions. This transition will reduce administrative burden for providers and enable providers to focus on the more meaningful and important work of providing...
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HIPAA Privacy Practices - North Carolina Marketplace
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-north-carolina-marketplace/...action against you for filing a complaint. We may not require you to give up your right to file a complaint as a condition of: care, payment, enrollment in a...
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Collaborative Care Model (CoCM) Initiative
https://www.caresource.com/providers/education/patient-care/behavioral-health/about-the-collaborative-care-model-cocm-initiative/...the regular clinic hours, if needed. Is there a specific enrollment process for providers? No, CareSource will identify eligible providers. Does this service require prior authorization? No, there are no...
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Medicare Prescription Payment Plan
https://www.caresource.com/plans/dsnp/pharmacy/drug-cost-help/mppp/...plan year, Or during the annual enrollment period, which is October 15 through December 7. You can also leave this payment option at any time without affecting your Medicare drug...
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