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Care & Disease Management
https://www.caresource.com/plans/medicaid/benefits-services/care-disease-management/...take good care of yourself Helping you adopt a healthy lifestyle Working with your doctor to reach your health goals If your doctor, pharmacy or other health care provider tells...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...the responsible Managed Care Organization (MCO) for processing and payment. Prior Authorization Requests: OMES will serve as the centralized location for prior authorization requests for all medical (non-pharmacy) services, standardizing...
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MA-Dual Special Needs
https://www.caresource.com/plans/dsnp/...year coverage: Pharmacy Pharmacy Enjoy broad coverage on a lengthy list of Medicare Part D drugs. Get 30-, 60- or 102-day supply by mail order or local retail pharmacy. Medications...
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Plan Documents
https://www.caresource.com/plans/plan-documents/...Ottawa, Paulding, Perry, Pike, Preble, Putnam, Ross, Scioto, Vinton, Warren, Washington 2022 CareSource Advantage (Updated 10/01/2021) Provider and Pharmacy Directory The Provider and Pharmacy Directory is a listing of the...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/...please see your Evidence of Coverage and Member Handbook, found on the Plan Documents page. You may also call Member Services. We are happy to help. Call for additional information:...
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Drug Transition Policy
https://www.caresource.com/plans/dsnp/pharmacy/drug-transition-policy/...can be up to a 30-day supply at a network pharmacy if one of the following is true: You are new to CareSource Dual Advantage or CareSource Dual Advantage Plus...
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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...Changes below. For the most up-to-date formulary information, use our online Find My Prescriptions tool. Visit the Plan Documents page to view important documents about prescription drug benefits. 2022 Tier...
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Care & Disease Management
https://www.caresource.com/members/education/care-disease-management/...at the phone number at the bottom of this page. You can self-refer to Care Management when you call or through your TrueCare MyLife account at MyLife.MSTrueCare.com. Our staff can...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...System (OMES) Provider Network Management (PNM) module, which will reduce administrative burden on providers. Also, the Single Pharmacy Benefit Manager (SPBM) will begin providing pharmacy services across all managed care...
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Medicaid
https://www.caresource.com/plans/medicaid/...the Georgia Plans page to learn about all of the ways CareSource serves Georgia. SO MUCH MORE THAN HEALTH INSURANCE The Healthy Indiana Plan (HIP) is a health-insurance program for...
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