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Medicare Prescription Payment Plan
https://www.caresource.com/plans/dsnp/pharmacy/drug-cost-help/mppp/Pay out-of-pocket prescription costs in monthly payments over the plan year instead of all at once at the pharmacy. Manage your out-of-pocket Medicare Part D drug costs by spreading them...
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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...of the original request. Full details on coverage determinations and appeals can be found in the Evidence of Coverage (Chapter 9, section 6). Find this and other documents on our...
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Health Care Terms
https://www.caresource.com/plans/dsnp/benefits-services/behavioral-health/health-care-terms/Learn what the terms mean that your provider uses. See your Evidence of Coverage for more health care terms and meanings. Copay The fixed amount you pay for a covered...
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Substance Use Disorder
https://www.caresource.com/plans/dsnp/benefits-services/behavioral-health/substance-use-disorder/...is not a full list of benefits. See your Evidence of Coverage or call Member Services to learn more. Not Ready to Quit? Here Are Ways to Stay Safe Ask...
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OhioRISE
https://www.caresource.com/plans/medicaid/benefits-services/ohio-rise/...and providing evidence-based services. To be part of OhioRISE, you must: Be enrolled in Ohio Medicaid Be under age 21 Have had a behavioral health hospitalization or meet Child and...
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Opioid Toolkit
https://www.caresource.com/providers/education/patient-care/health-safety-welfare/opioid-toolkit/...Evidence-based medicine does not support long-term opioid treatment for chronic pain. CareSource PASSE™ offers the following resources as reference when treating patients with long-term high-dose opiate use. Guidelines for Prescribing...
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State Fair Hearings
https://www.caresource.com/members/tools-resources/grievance-appeal/state-fair-hearings/...the Adverse Benefits Determination and Notice of Appeal resolution letters within 2 business days to the DHS Office of Appeals and Hearings. We will send an evidence packet to you...
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Rights and Responsibilities
https://www.caresource.com/plans/caresource-passe/plan-documents/rights-responsibilities/...evidence of insurability or disability. Contact the United States Department of Health and Human Services Office for Civil Rights with any complaint of discrimination. Address: 200 Independence Avenue, S.W. Room...
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Transportation
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/transportation/...the following: Ongoing services, such as dialysis, chemotherapy, substance use disorder (SUD) services, physical therapy, speech therapy and occupational therapy. Services for MIHP, or other MDHHS approved evidence-based home-visiting program,...
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Behavioral Health
https://www.caresource.com/plans/dsnp/benefits-services/behavioral-health/...use needs. This is not a full list of benefits. See your Evidence of Coverage or call Member Services to learn more. Substance Use Disorder Addiction is tough, but recovery...
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