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Healthy Heart
https://www.caresource.com/plans/marketplace/healthy-heart/...for check-ups and screenings. Expanded Drug Formulary: Easier access to the drugs that you need to treat your heart condition. Medication Management: Support from pharmacists to manage heart and other...
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Medicare Prescription Payment Plan
https://www.caresource.com/plans/dsnp/pharmacy/drug-cost-help/mppp/...Online: Complete the form online at www.express-scripts.com/mppp. Mail: Download the form and send the completed form to: Express Scripts MPPP P.O. Box 801101 Kansas City, MO 64180-1101 Urgent Requests If...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/CareSource of North Carolina Co.® is committed to maintaining the quality and appropriateness of health care services provided to our members. The Utilization Management department performs all utilization management (UM)...
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/...regarding CareSource’s member rights and responsibility policy How can I get information sent to me in paper form? You can request information be sent to you in paper form. This...
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Advance Directive
https://www.caresource.com/members/education/planning-ahead/advance-directive/...differ from state to state. To make sure your wishes are heard, you should use a form that you know is legal in the state where you live. Below is...
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Clinical Guidelines
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/clinical-guidelines/...Follow the instructions below for access to MCG Guidelines Step 1: Access the Guidelines, read the disclaimer and accept the “Terms and Conditions”. Step 2: Complete the User Information Form....
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...Web-Based Pregnancy Risk Assessment Form Improving Quality Scores The following resources will help improve your patients’ satisfaction and your quality scores: 2024-2025 HEDIS Provider Reference Guide Access to Care and...
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Grievances
https://www.caresource.com/members/tools-resources/grievance-appeal/grievance/...complaint be mailed to you. File an online complaint by filling out a complaint form. Request a complaint form and instructions for filing a written consumer complaint by contacting Ohio...
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Medicare Prescription Payment Plan
https://www.caresource.com/members/tools-resources/find-my-prescriptions/medicare-prescription-payment-plan/...(TTY: 1-800-716-3231), 24 hours a day, 7 days a week. Online: Complete the form online at www.express-scripts.com/mppp. Mail: Download the form and send the completed form to: Express Scripts MPPP...
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Pharmacy
https://www.caresource.com/plans/mycare-snp/benefits-services/pharmacy/...We regularly check to make sure the online formulary tool is the approved version. Generally, if you are taking a drug on our formulary that was covered at the beginning...
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