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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/To Find a Pharmacy near you, simply type in your city or zip code and follow the prompts. CareSource PASSE pays for all medically necessary, CMS participating, Medicaid-covered FDA-approved products...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...partial approval to cover a service. CareSource denies payment of a service. Internal Appeal of Adverse Benefit Determination You must submit an internal appeal to us within 60 calendar days...
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HIP Power Account
https://www.caresource.com/plans/medicaid/hip-power-account/...you will pay a POWER Account Contribution (PAC) each month. The amount you pay for your PAC varies by person. You can learn more about the payment tiers in the...
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Renew Your Benefits
https://www.caresource.com/members/tools-resources/renew-benefits/...can use pay stubs to do this. Pay Stubs must be less than 90 days from the renewal deadline. For more information about P4HB® renewals, visit the P4HB website or...
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...possible. Be enrolled and pay any required premiums. Pay an annual deductible, copayments and coinsurance. Pay the cost of limited and excluded services. Choose network providers and network pharmacies. Show...
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Provider Grievances
https://www.caresource.com/providers/provider-portal/provider-grievance/...All provider complaints should be clearly documented. Matters involving denials or claims payment should be submitted through the appropriate claim payment dispute or appeals process. Providers have 30 calendar days...
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Silver Plans
https://www.caresource.com/plans/marketplace/plan-documents/silver-plans/...coinsurance you must pay when you receive covered services. Access the EOC below that corresponds to your plan: Select your state to view documents 2025 2025 CareSource Evidence of Coverage...
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Archived Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/archived/...for Drug Administration T Three Day Window Payment Three-Day Window Payment Trading Partners Trading Partners Trading Partners Trading Partners Trading Partners U Utilization Management of Formulary Medications - Archived on...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...
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Find My Prescriptions
https://www.caresource.com/members/tools-resources/find-my-prescriptions/...Members may pay a small part of their prescription costs. This is called a copayment or copay. Learn more about pharmacy copays.Learn more about pharmacy copays. Georgia Pathways to Coverage...
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