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Silver Plans
https://www.caresource.com/plans/marketplace/plan-documents/silver-plans/...Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook EVIDENCE OF COVERAGE (EOC) The EOC is an important legal document that describes...
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Staying Safe From Infections
https://www.caresource.com/members/education/preventive-care/staying-safe-from-infections/...and RSV are: Wash your hands. Stay away from people who feel sick. Disinfect your surfaces. Get all your vaccines. As a CareSource member, you also have access to easy-to-use...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...a CareSource provider, you can easily access members’ benefits to best serve their needs. Prior Authorization Pharmacy Planning for Healthy Babies® Member Handbook Quality Improvement CareSource continually assesses the quality...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...FDA Orange Book. For more information about biosimilar substitution, please refer to the FDA Purple Book. Prior Authorization, Step Therapy and Quantity Limits Utilization management may be applied to Formulary...
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Caregiver Tools
https://www.caresource.com/members/tools-resources/caregiver-resources/caregiver-tools/...conditions, behavioral health and healthy living from the Education page. Access your plan webpages for the Member Handbook, benefits and services and other plan information. My CareSource Members can use...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...handbook goes over what you need to know about grievances and appeals. Member Services: 1-833-230-2005 (TDD/TTY: 711) Monday through Friday, 8 a.m. – 5 p.m. CT Your Medicare Rights As...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...Hearing, you must complete an internal appeal. If CareSource does not follow the notice and timing rules in this handbook, then you may ask for a State Fair Hearing before...
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Health Care Terms
https://www.caresource.com/members/education/health-care-terms/Learn what the terms mean that your provider uses. There are even more word meanings in your member handbook. Term Definition Inpatient Services Inpatient Services are when you spend at...
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Mental Health And Wellness
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/mental-health-and-wellness/...hospital setting and get care. This care could be for mental health and/or substance use needs. This is not a complete list of benefits. See your member handbook or call...
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Plan Documents
https://www.caresource.com/plans/mycare/plan-documents/...that goes with the plan you have. 2025 Medicare-Medicaid Member Handbook ( English | Spanish) Medicaid Member Handbook ( English | Spanish) MyCare Waiver Member Handbook ( English | Spanish)...
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