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CareSource MyLife
https://www.caresource.com/about-us/caresource-mylife/Discover what CareSource MyLife can do for you Manage your health plan and get support for everyday care. CareSource MyLifeSM gives you the tools and information – right when you...
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Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/...sterilizations Services/care you receive in another country Alternative medicine Plastic or cosmetic surgery that is not medically necessary Voluntary sterilization if under 21 years of age or legally incapable of...
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Plan Documents
https://www.caresource.com/plans/plan-documents/...your plan coverage. Evidence of Coverage (EOC) The EOC is an important legal document that describes the relationship between CareSource and members of CareSource Advantage® Zero Premium (HMO) and CareSource...
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Renew Your Benefits
https://www.caresource.com/members/tools-resources/renew-benefits/Don’t Risk Losing Your CareSource Health Care To stay a CareSource member, you need to renew your Medicaid benefits every year. This is done through the Georgia Division of Family...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/CareSource covers all medically necessary Medicaid-covered drugs at many pharmacies. CareSource also covers many commonly used over-the-counter (OTC) medications with a written prescription from your doctor. CareSource uses Preferred Drug...
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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/Administrative Law Hearing Not happy with an internal appeal decision? You may ask for an Administrative Law Hearing. This is the next formal step. It involves you or your representative,...
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Rights & Responsibilities
https://www.caresource.com/plan-documents/rights-responsibilities/...record information will be kept private. To be given information about your health. This information may also be available to someone who you have legally approved to have the information...
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CareSource Compliance Snapshot
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/caresource-compliance-snapshot/CareSource is proud to implement a corporate compliance plan that stresses personal, professional, ethical, and legal standards. The compliance plan and code of conduct demonstrates the principles and values by...
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Common Compliance Terms
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/common-compliance-terms/...was made in an incorrect amount (including overpayments and underpayments) under statutory, contractual, administrative or other legally applicable requirements. This includes any payment to an ineligible recipient, any payment for...
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Vendor Compliance FAQ
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/frequently-asked-questions/The frequently asked questions below are intended to help First Tier, Downstream and Related Entities (FDR) understand and manage their compliance efforts. Please click on the expandable menus below to...
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