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Forms
https://www.caresource.com/providers/tools-resources/forms/...form. Disputes & Appeals Forms Appointment of Representative to File an Appeal on Patient/Member's Behalf Submit this form to request an appeal on behalf of a member. Expedited Appeal Form...
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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...benefits and services, where to get care and your rights and responsibilities as a member. Member Handbook Member Materials Benefits at a Glance Healthy Indiana Plan (HIP) New Member Booklet...
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Make a Payment
https://www.caresource.com/members/my-caresource-account/make-payment/...Learn more about POWER Accounts here. How to make a payment: Pay Online: This is a free. Pay by credit card, debit card, or bank transfer. You can pay online...
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Health Assessment & Screening
https://www.caresource.com/members/my-caresource-account/health-assessment-screening/Fill out your Health Needs Assessment (HNA). CareSource wants to support your health and well-being as much as we can. The HNA is a list of questions to help us...
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Pharmacy
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/...(TTY: 711) to speak with a pharmacist today. We are open Monday through Friday, 8 a.m. to 5 p.m. CareSource covers all medically necessary Medicaid-covered medications. We use a Preferred...
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Additional Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/additional-services/...a $250 allowance for eyeglasses/contacts, and discounts on additional vision services. Members also get access to the Active&Fit® fitness program. Fitness Program Choosing a CareSource plan with Adult Vision and...
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Welcome To CareSource
https://www.caresource.com/welcome-to-caresource/Thank you for choosing us! We want you to be happy with your coverage. We offer a suite of online self-service tools, but you can always call Member Services with...
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During Pregnancy
https://www.caresource.com/members/education/pregnancy/during-pregnancy/...between 27 and 36 weeks. You may also want to ask your OB provider about getting the COVID-19 vaccine. Want a list of other vaccinations you might want to ask...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...The following is a list of available Prior Authorizations Forms: ABA Prior Authorization Form CES Waiver Prior Authorization Form Community Based/Behavioral Health Outpatient Prior Authorization Form EIDT/ADDT and ST/PT/OT Prior...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/...for pediatric vision and adults with Adult Vision and Fitness plans. Active&Fit® Fitness benefit included with all Adult Vision and Fitness plans. It includes access to a network of participating...
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