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Drug Transition Policy
https://www.caresource.com/plans/dsnp/pharmacy/drug-transition-policy/...in the first 90 days of your membership and your medication is not on our covered drug list (formulary) or coverage is limited in some way, such as prior authorization,...
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Archived Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/archived/...Pain Pump Implantable Pain Pump Implantable Pain Pump Implantable Pain Pump Implantable Spinal Cord Stimulator Implantable Spinal Cord Stimulator Implantable Spinal Cord Stimulator Implantable Spinal Cord Stimulator Infant Formula Infant...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...rendered Retaining payments made in error by CareSource Payments stemming from kickbacks or Federal Stark Law violations Duplicate payments for services Member: Inappropriate use of Medicaid/Medicare purchased narcotics Forging prescriptions...
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Medical Benefits
https://www.caresource.com/plans/dsnp/benefits-services/medical-benefits/...to submit the bill you receive to CareSource with a claim form found on our Forms page. You can also get a claim form by calling Member Services at 1-833-230-2020...
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Contact Us
https://www.caresource.com/providers/contact-us/...PASSE that serves the needs of CareSource PASSE members, providers and other stakeholders. Phone: 1-844-843-7351 Individuals who have a hearing or speech impairment can contact the office by calling toll...
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Find A Doctor
https://www.caresource.com/members/tools-resources/find-a-doctor/...by our plan. However, we do not officially recommend the providers in our network. When choosing our provider partners, we do not look at quality, member experience, or cost. But...
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Medical Benefits
https://www.caresource.com/benefits-services__trashed/medical/...outside the service area, you will need to submit the bill you receive to CareSource with a claim form found on our Forms page. You may also obtain a claim...
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Care & Disease Management
https://www.caresource.com/plans/medicaid/benefits-services/care-disease-management/...learn more, call 1-855-202-0729 (TTY: 711) or fill out the Care Management Request and Referral Information form. Disease Management We know chronic health issues can be hard to manage. We...
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...health problems and participate in developing mutually agreed-upon treatment goals, to the degree possible. Be enrolled and pay any required premiums. Pay an annual deductible, copayments and coinsurance. Pay the...
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HIPAA Privacy Practices - Kentucky
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky/...– CareSource® and its contracted business partners may use and give out your protected health information to carry out treatment, payment or health care operations and for other purposes permitted...
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