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Vision
https://www.caresource.com/providers/education/patient-care/vision/...EyeMed website for updates on routine vision services and changes that may impact your practice. EyeMed Phone Number: 1-833-918-0861 CareSource covers vision services for our Nevada Marketplace members. Our vision...
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Third-Party Application Data Sharing
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/third-party-use-of-health-data/...questions. If you are a Marketplace Member: Some apps may let you see health information for everyone in your plan or enrollment group. Others may only let you see your...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/To have your health care services covered by your CareSource plan, you must get them from a network provider. The only exceptions are: In cases of emergency; If you need...
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Referrals & Prior Authorization
https://www.caresource.com/plans/marketplace/benefits-services/referrals-prior-authorization/...work, x-rays or many outpatient services either. Your PCP will tell you when you need these types of care. You can download the Marketplace Prior Authorization List here: Select your...
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Ohio Provider Appeals
https://www.caresource.com/providers/provider-portal/appeals/ohio-provider-appeals/The CareSource® grievance and appeals policies and timeframes may vary by plan. Click the links below to access appeals information for your member’s plan. Ohio Medicaid CareSource MyCare® Ohio Marketplace...
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Michael Taylor, President, Kentucky and West Virginia Markets
https://www.caresource.com/about-us/executive-leadership/michael-taylor-president-kentucky-market/...plans. Most recently he served as Executive Director, Kentucky for Evolent Health based in Lexington, Kentucky, where he led both Medicare Advantage and Marketplace plans. His past experience includes senior...
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Erhardt Preitauer, President & CEO
https://www.caresource.com/about-us/executive-leadership/erhardt-preitauer-president-ceo/Erhardt Preitauer is the president and CEO of CareSource. He leads a mission-driven team dedicated to transforming health care for those served by Medicaid, the Health Insurance Marketplace, and Medicare....
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HIPAA Privacy Practices
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/CareSource PASSE Arkansas (English | Español) Medicaid Plans Georgia ( English | Español) Indiana (English | Español) Kentucky Michigan Nevada Ohio Marketplace Plans Georgia Indiana Kentucky Michigan Nevada North Carolina...
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Forms
https://www.caresource.com/providers/tools-resources/forms/We have compiled all of the essential forms in one place for you to utilize. Select the applicable form(s) for reporting, credentialing, claims, and more. Note: You may need to...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/CareSource PASSE™ follows Arkansas Medicaid’s evidence-based Prescription Drug Program, Preferred Drug List (PDL) and Prior Authorization Criteria. Search Tips: To access the downloadable Preferred Drug List and Prior Authorization Criteria...
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