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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...All internal appeal requests must have: The covered person’s name and ID number as shown on the ID card The provider’s name The date of the medical service The reason...
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During Pregnancy
https://www.caresource.com/members/education/pregnancy/during-pregnancy/...your baby If you have any of these symptoms and need help finding a mental health provider, call us. For help day or night, call CareSource24, our Nurse Advice Line,...
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Prescription Drug Formulary
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/preferred-drug-list/...limits apply. You can find more information about these limits below. Sometimes, you may need a drug that is not on the Formulary. You can find more information below about...
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MyResources
https://www.caresource.com/members/education/myresources/...CareSource account or go to CareSource.findhelp.com. You can also call Member Services to find support near you. Member Services: 1-833-230-2005 (TDD/TTY: 711) Monday through Friday, 8 a.m. – 5 p.m....
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Renew Your Benefits
https://www.caresource.com/members/tools-resources/renew-benefits/...Find Your Local DFR Office: https://www.in.gov/fssa/dfr/ebt-hoosier-works-card/find-my-local-dfr-office/ Find Your Local CKF Office: https://www.ckfindiana.org/need-coverage/#map-section Member Services: 1-844-607-2829 (TTY: 1-844-743-3333 or 711), Monday through Friday, 7 a.m. CT/8 a.m. ET to 7 p.m....
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/...Update For 2025, CareSource Marketplace Plans feature the following benefits: TruHearing® provider network for hearing services is included with all plans. EyeMed® provider network for vision services on all plans...
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Behavioral Health Carve-In
https://www.caresource.com/providers/education/patient-care/behavioral-health-carve-in/...enrolled as a provider type 95 (community substance use disorder program) with provider specialty 950 AND either licensed by OhioMHAS as a methadone treatment administration program (provider specialty 951) AND/OR...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...the main activities performed by providers beginning Oct. 1, 2022. We encourage providers to review the Provider Journey Maps to understand from a high-level, how common activities are performed. Provider...
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Health Care Terms
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/health-care-terms/...your provider to make sure your medications are working. This can be things like reviewing and changing your dosage. Psychiatric Diagnostic Evaluation A mental health provider looks at you and...
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Understanding Your Costs
https://www.caresource.com/members/tools-resources/understanding-your-costs/...the amount you owe. You will get an EOB in the mail from us after you visit a provider or fill a prescription. We negotiate rates with our network providers...
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