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Utilization Management/Service Determination
https://www.caresource.com/plans/caresource-passe/benefits/utilization-management/...best for your needs. Learn more about Utilization Management/Service Determination in your member handbook. You can also call Member Services to get a printed copy of the member handbook sent...
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HAP CareSource Plans
https://www.caresource.com/plans/medicaid/benefits-services/hap-caresource-plans/...Well-baby and well-child visits Health, education and outreach Transportation to and from medical visits and other important appointments Visit the Plan Documents page to view the Member Handbook for more...
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Rights and Responsibilities
https://www.caresource.com/plans/mississippi-chip/rights-and-responsibilities/...your Care Manager. Get a member handbook and provider directory sent or made available to you within five business days of joining TrueCare. Get a second opinion of a medical...
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...also listed in your Member Handbook. You have the right to: Receive information about CareSource, our services, our network providers and member rights and responsibilities. Be treated with respect and...
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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/...services including dental and vision, please see your member handbook. Over-the-Counter (OTC) Items You can get many OTC drugs at no cost to you. You will need a prescription from...
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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...to OK the service and get an OK from CareSource, too. You can learn more by reading your member handbook. Services Outside of Network Call your PCP, other in-network provider...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...effects. There is a generic or preferred alternative drug available. The drug could be misused/abused. There are other drugs that should be tried first. View the Gainwell Member Handbook to...
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Benefits & Services
https://www.caresource.com/plans/georgia-pathways-to-coverage/benefits-services/...Member Handbook. Services Not Covered CareSource will not pay for the following services that are not covered by Medicaid: Abortions except in the case of a reported rape, incest or...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...of health care services Claims, payments, handling or reimbursement for health care services Matters involving the contractual relationship between the member and the plan These types of grievances do not...
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Medicaid with MyCare Ohio
https://www.caresource.com/plans/mycare/benefits-services/medicaid-with-mycare-oh/...once every 4 years for conventional and 5 years for digital or programmable. Learn more about dental, vision and hearing benefits in your member handbook on our Plan Documents page....
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