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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...referenced above: Log on to CAQH using your account information. Select the Authorization tab. Make sure CareSource Medicaid Ohio isCareSource Marketplace Ohio isCareSource Advantage Zero Premium and CareSource Advantage Ohio...
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Plan Documents
https://www.caresource.com/plans/mycare-snp/plan-documents/...of your plan. Coverage Determination Request Form If you think you should get payment or benefits on a certain drug, you can request a coverage determination. Fill out this form:...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/Please select your state. CareSource plans provide comprehensive, quality coverage that you can afford, understand and use. We offer individual and family plans with adult vision and fitness coverage. Benefits...
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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/Utilization Management (UM) means CareSource reviews a request for certain health care services. The review can happen before, during, or after service. We will review the request for: Medical necessity...
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Care & Disease Management
https://www.caresource.com/plans/medicaid/benefits-services/care-disease-management/...to help coordinate your health care needs. They can contact you by phone: If your doctor requests one to contact you If you request a phone call If our Care...
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Grievances
https://www.caresource.com/members/tools-resources/grievance-appeal/grievance/...complaint be mailed to you. File an online complaint by filling out a complaint form. Request a complaint form and instructions for filing a written consumer complaint by contacting Ohio...
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Drug Transition Policy
https://www.caresource.com/plans/dsnp/pharmacy/drug-transition-policy/...will review the request and approve or deny. If denied, you may file an appeal. For questions about a temporary supply, please review your Evidence of Coverage on the Plan...
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Rights & Responsibiities
https://www.caresource.com/plans/mich/plan-documents/rights-responsibiities/...right to refuse treatment and express preferences about treatment options Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience, or retaliation Request...
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RIGHTS & RESPONSIBILITIES
https://www.caresource.com/plans/mihealthlink/plan-documents/rights-responsibilities/...aspects of care and for all health care information, unless otherwise required by law. To be provided a copy of their medical records, upon request, and to request corrections or...
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Rights and Responsibilities
https://www.caresource.com/plans/mississippican/rights-and-responsibilities/...corrected. To request records from us, call Member Services at 1-833-230-2050 (TDD/TTY: 711) Monday through Friday, 7 a.m. to 8 p.m., CT. A right to voice complaints or appeals about...
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oh appeal request form