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Health Care Terms
https://www.caresource.com/plans/dsnp/benefits-services/behavioral-health/health-care-terms/...or whole day. Outpatient Services A service that can be done without an overnight stay in the hospital. Partial Hospitalization Program (PHP) Services PHP is an outpatient therapy program that...
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Member Overview
https://www.caresource.com/members/Need Personal Assistance? If you have any problems reading or understanding this information, please call Member Services. This is a free service. We can read the information out loud for...
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CareSource Grant Challenge
https://www.caresource.com/about-us/caresource-foundation/caresource-grant-challenge/...Grant Challenge, we hope to inspire innovation and improve health outcomes. This includes moving the needle on health equity, especially for those with special care needs, both health and social....
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Centralized Credentialing & Single Pharmacy Benefit Manager
https://www.caresource.com/providers/tools-resources/centralized-credentialing-single-pharmacy-benefit-manager/Centralized Credentialing Ohio Department of Medicaid (ODM) has implemented a single, centralized provider credentialing process at the state level with the go-live of the Provider Network Management (PNM) portal. Under...
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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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Hoosier Healthwise (HHW) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hhw-benefits/...planning or emergency services, out-of-network health care providers need prior authorization (also called pre-approval). Go to www.caresource.com/in/plans/medicaid/benefits-services/referrals-prior-authorization/ for more details on prior authorization. Office Visits / Hospital Type of Service...
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Caregiver Tools
https://www.caresource.com/members/tools-resources/caregiver-resources/caregiver-tools/...benefit information, ID card or change PCP. Contact Us is a list of our phone numbers. Benefits, copayments and coinsurance may change on January 1 of each year. The formulary,...
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Dental, Vision & Hearing
https://www.caresource.com/benefits-services__trashed/dental-vision-hearing/...to bring a Medicare Advantage vision benefit solution that offers more… Access to EyeMed’s Insight network, a vision network made up of the right mix of independent providers, as well...
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Referrals & Prior Authorization
https://www.caresource.com/plans/marketplace/benefits-services/referrals-prior-authorization/...services that you get outside of the CareSource network are not normally considered covered services. However, services will be covered when you receive them from an out-of-network provider connected to...
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Plans & Services
https://www.caresource.com/producers/plans-services/...our Marketplace plan pages to learn more about our plans. To easily find benefit details on the plans we offer, visit the plan documents page for the plan type about...
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