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Plans
https://www.caresource.com/plans/...Demo Indiana Indiana Healthy Indiana (HIP) Hoosier Healthwise (HHW) Marketplace Kentucky Kentucky MARKETPLACE Michigan Michigan Medicaid MI Coordinated Health Marketplace Nevada Nevada Medicaid Marketplace North Carolina North Carolina MARKETPLACE Ohio...
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Collaborative Care Model (CoCM) Initiative
https://www.caresource.com/providers/education/patient-care/behavioral-health/about-the-collaborative-care-model-cocm-initiative/...patient. Where can providers direct questions? Providers can email questions or interest in participating in the CoCM to the Behavioral Health Clinical inbox at: Indiana_BH@CareSource.com. Resources CareSource Behavioral Health Site...
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Pharmacy Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/pharmacy-policies/These pharmacy policies apply to the TRICARE Prime® Demo by CareSource Military & Veterans™ plan. These pharmacy policies apply to our Georgia Medicaid plan(s). Pharmacy policies offer guidance on determination...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/A grievance is a formal complaint about us, our providers or the care you get. You or an authorized representative may file a grievance at any time. Call Member Services...
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Find My Prescriptions
https://www.caresource.com/members/tools-resources/find-my-prescriptions/...taking. CareSource uses a preferred drug list. This list is also called a PDL. These are drugs that we like our providers to prescribe. It includes products on Indiana Medicaid’s...
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COVID-19 Information and Resources
https://www.caresource.com/members/tools-resources/covid19/...not ask for any money to keep your Medicaid benefits. Please report suspicious activity to: Ohio: Call the Ohio Attorney General at 1-800-282-0515 (TTY: 711) or visit www.ohioprotects.org. Indiana: Call...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...statement or entry. The complete set of Kentucky laws governing Medicaid fraud and abuse may be found at Kentucky Revised Statutes §§ 205.8451-205.8483. Indiana Law: Indiana has enacted a false...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...Lists, also called PDLs. These are drugs that we like our providers to prescribe. These lists show the most common, but not all, drugs covered by our plans. Changes to...
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Provider Onboarding Kit
https://www.caresource.com/providers/education/become-caresource-provider/provider-onboarding-kit/...work with our plan. Provider Orientation View a brief informational presentation to welcome you and help you work with CareSource. 2021 Indiana Health Partner Orientation Provider Orientation Provider Orientation Provider...
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Accreditations
https://www.caresource.com/about-us/accreditations/NCQA HEALTH PLAN ACCREDITED Georgia Marketplace Georgia Medicaid Indiana Marketplace Indiana Medicaid Kentucky Marketplace Michigan Medicaid Michigan Medicare North Carolina Marketplace Ohio Marketplace Ohio Medicaid West Virginia Marketplace Wisconsin Marketplace...
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