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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...on the left side of this page. You will find steps for what you need to do next. We Want You To Be Happy! We hope you are happy with...
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Pharmacy
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/...CareSource Marketplace. Use the Find a Pharmacy Quick Link on the left side (bottom) of the page to find a pharmacy near you. Covered Prescriptions CareSource uses a Prescription Drug...
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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...or in-network means that these providers see CareSource members. Use our Find a Doctor tool to find one near you. Emergency care does not need prior authorization. Referral means that...
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My CareSource
https://www.caresource.com/members/my-caresource-account/...ID card Find a doctor Make a payment Check claims And more The CareSource mobile app is available for both iPhone and Android systems. Get it free through the Apple...
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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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Behavioral Health
https://www.caresource.com/benefits-services__trashed/behavioral-health/...Where to Get Care Tools & Resources Find My Prescriptions Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Pharmacy Guardianship MyHealth...
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Substance Use Disorder
https://www.caresource.com/plans/dsnp/benefits-services/behavioral-health/substance-use-disorder/...alcohol and drug free. Your provider may want you to detox before you can go to residential treatment. Find a Provider Use our Find a Doctor/Provider tool to find providers...
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Student Program
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacy-community-programs/student-program/...waste, and abuse (FWA) To enable future pharmacists to find formulary information and understand the purpose of prior authorizations To positively impact the next generation of pharmacists Expectations and Responsibilities...
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Pharmacist Provider Status
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacist-provider-status/...examination findings, test results, clinical impressions, plan of care and progress. CareSource reserves the right to audit documentation. If you don’t have billing software, CareSource partners with Availity to offer...
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Mental Health and Wellness
https://www.caresource.com/plans/mycare/benefits-services/behavioral-health/mental-health-and-wellness/...Find a Provider Use our Find a Doctor/Provider tool to find providers like family therapists, substance use counselors, social workers, community mental health centers and more. If you don’t see...
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