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Rights & Responsibilities
https://www.caresource.com/plans/mycare-snp/plan-documents/rights-responsibilities/...it. To be able to file an appeal, a grievance (complaint) or state hearing. See your member handbook for information. To be able to get all CareSource MyCare Ohio written...
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Pharmacy
https://www.caresource.com/plans/mich/benefits-services/pharmacy/...your Member Handbook/Evidence of Coverage for exceptions. Drug Safety Recalls Sometimes, the federal government or drug manufacturer issues drug recalls. To find out if a drug you take is being...
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Grievances
https://www.caresource.com/members/tools-resources/grievance-appeal/grievance/...of Coverage (EOC) or Medicaid-Only Member Handbook. Questions? Call Member Services at 1-855-475-3163 (TTY: 1-833-711-4711 or 711). We are open Monday through Friday, 8 a.m. to 8 p.m. Eastern Time,...
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Referrals & Prior Authorization
https://www.caresource.com/plans/tricare-prime-demo/referrals-prior-authorization/...one near you. View the full list of services that need pre-authorization (coming soon). Emergency care does not need pre-authorization. Learn more about referrals and pre-authorizations in your beneficiary handbook....
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Pharmacy
https://www.caresource.com/plans/mihealthlink/benefits-services/pharmacy/...is available. Generally, a generic drug works the same as a brand name drug and usually costs less. Please see your member handbook on the Plan Documents page for exceptions....
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2023 Over-The-Counter (OTC) Benefits
https://www.caresource.com/members/tools-resources/find-my-prescriptions/otc/...the end of each quarter. Please see your Summary of Benefits or MyCare Member Handbook for your quarterly OTC benefit dollar amount. Your OTC quarterly allowance can be used in...
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Mental Health and Wellness
https://www.caresource.com/plans/mycare/benefits-services/behavioral-health/mental-health-and-wellness/...these benefits. See your member handbook or call Member Services for details. Benefits may change on January 1 of each year. If you need someone to talk to, call CareSource24®,...
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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/...in your first language. We can also help you if you have issues seeing or hearing. Please also read your member handbook to learn more about your rights. Member Services:...
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Quality Improvement
https://www.caresource.com/members/tools-resources/quality-improvement/Select your plan from the drop down list above, then click GO. We want you to be happy with the care and services you get. We monitor some areas of...
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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/...form. UM staff who call you will say their name and title and that they are from CareSource. Learn more about Utilization Management in your member handbook. Questions? Call Member...
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