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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/...The CareSource Marketplace Drug Formulary shows the drugs covered by your plan. Here are some more important facts about CareSource prescription drug coverage: You have to go to a pharmacy...
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HDHP Preventive and Preventive Silver Plans
https://www.caresource.com/plans/marketplace/hdhp/...Got You! Like our other plans, if you qualify for Advance Premium Tax Credits (APTC), they can help lower your premiums. Every simple and affordable CareSource Marketplace plan offers coverage...
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Training
https://www.caresource.com/producers/training/...Marketplace Online Enrollment FAQ Marketplace Online Enrollment FAQ Find answers to frequently asked questions about the HealthSherpa powered Enrollment Portal. Read the Guide Marketplace Revenue Cycle Operations Guide Marketplace Revenue...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...through routine health plan reporting, annual Healthcare Effectiveness Data and Information Set (HEDIS®). In addition, Marketplace members complete the annual Quality Health Plan (QHP) Enrollee Survey to capture member perspectives...
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FAQs
https://www.caresource.com/members/education/faqs/cdmvheart Care Coordination What is a care coordinator? A care coordinator will connect you and your family with community support. They coordinate the services you are already getting and any...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/At CareSource, we streamline our business practices to limit the administrative burden on you and our members. Our goal is to make it easier for you to help our members...
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Contact Us
https://www.caresource.com/members/contact-us/...want to make it easy to work with us, whether online or over the phone. That’s Health Care with Heart®! Welcome CareSource Members! CareSource marketplace plans provide comprehensive, quality coverage...
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Pharmacist Provider Status
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacist-provider-status/...Therapy Management (MTM) network, visit. Some examples of plans for which pharmacists can bill for medically necessary services: Kentucky Marketplace plans West Virginia Marketplace plans Ohio Medicaid and Ohio D-SNP...
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Your HDHP Preventive Plan
https://www.caresource.com/plans/marketplace/plan-documents/your-hdhp-preventive-silver-plan/Congratulations on enrolling in our HDHP Preventive Marketplace plan! Now that you have your plan, start right by making an appointment with your in-network family doctor and/or cardiologist. If you...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...Office of the Inspector General (OIG) has created free educational materials to assist in teaching physicians about the federal laws designed to protect Medicaid, Medicare and Marketplace programs and program...
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