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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...related to patient care. To assist you with these tasks, we’ve consolidated the information below. Member Grace Period Members have a federally mandated 30-day grace period in which to make...
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Education
https://www.caresource.com/members/education/...to make sure you have everything you need when you have questions about your health and your health insurance. That’s why we’ve provided a wealth of information you can use....
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...Section 9 your Evidence of Coverage for timeframes for CareSource’s review of appeals and expedited appeals. Internal Appeal of Adverse Benefit Determination A decision we make about your coverage or...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/...need to make another call. Use the Nurse Advice Line phone number found on the back of your CareSource member ID card. How do I use Teladoc? There are easy...
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ADHD Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/adhd-toolkit/...the standard screening process into your practice. Using these tools can help make the decision to refer to a behavioral health provider or to ADHD treatment more efficient. Vanderbilt ADHD...
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HPV Toolkit
https://www.caresource.com/members/education/preventive-care/hpv/Did you know that the HPV vaccine can prevent many types of cancer? We want to make sure you have the tools you need to make the right choices for...
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Prescription Drug Formulary
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/preferred-drug-list/...Drug Formulary 2025 Drug Formulary 2026 Drug Formulary Price A Medication Tool We want to make sure our members get the safest, most cost-effective drugs for their needs. Refer to...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...Cultural considerations may impact/influence member health decisions related to preventable disease or illness. The provider office staff makes reasonable attempts to collect race and language-specific member data. Staff is available...
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COVID-19 Information and Resources
https://www.caresource.com/members/tools-resources/covid19/...Medicaid renewal packet in the mail from the state, make sure you fill it out. Then, return the packet as soon as you can. You risk losing your health care...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...
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