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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/As a CareSource member, you get extra benefits. These are for Georgia Families®, Georgia Pathways to CoverageTM, or PeachCare for Kids®, unless stated. For a full list of benefits and...
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Plan Documents
https://www.caresource.com/plans/dsnp/plan-documents/...– For certain drugs, we require you to first try another drug to treat your medical condition before we will cover the drug your physician initially prescribed. 2025 Step Therapy...
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August 2020 Broker Bulletin
https://www.caresource.com/producers/tools-resources/newsletters/august-2020-broker-bulletin/...(Gainesville, GA area), including the Longstreet Clinic, LLC and Northeast Georgia Physicians Group and other Health Partners Network Hospitals, Physician Groups and ancillaries, will be in-network for our Marketplace product...
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Tobacco Cessation Toolkit for Behavioral Health Providers
https://www.caresource.com/providers/education/patient-care/behavioral-health/tobacco-cessation-toolkit-for-behavioral-health-providers/...psychiatric nurse practitioners, physician assistants (PAs), case managers, therapists, and psychiatrists; however, some materials may also be appropriate for primary care and other health care providers who focus on substance...
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Dr. David Williams, Executive Vice President and Chief Medical Officer
https://www.caresource.com/about-us/executive-leadership/dr-david-williams-executive-vice-president-and-chief-medical-officer/...historically low results. A Fellow of the American College of Physicians, Dr. Williams earned his bachelor’s degree in chemistry from Tougaloo College, master’s degree in chemistry from Jackson State University...
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February 2021 Broker Bulletin
https://www.caresource.com/producers/tools-resources/newsletters/february-2021-broker-bulletin/...MP 1-1-2021 Wright State Physicians (Dayton, OH Area): MA D-SNP MP 12-1-2020 Firelands PHO (Sandusky, OH Area): MA D-SNP MP 1-1-2021 Signature Health (Cleveland and Columbus, OH Areas): MA D-SNP...
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Comprehensive Formulary
https://www.caresource.com/plans/dsnp/pharmacy/drug-formulary/...prescribed by your physician. 2025 Step Therapy Criteria (Updated on 12/01/2025) 2025 Medicare Part B Drug Prior Authorization Policies What Are My Options Can I receive coverage for drugs not...
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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...medical condition before we will cover the drug your physician initially prescribed. Step Therapy Criteria – For certain drugs, we require you to first try another drug to treat your...
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Common Compliance Terms
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/common-compliance-terms/...that are performed by workers located in offshore countries, regardless of whether the works are employees of American or foreign companies. Physician Self-Referral is making referrals for certain designated health...
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Contact Us
https://www.caresource.com/providers/contact-us/Provider Services Provider Services Commonwealth Care Alliance® (CCA): 1-866-420-9332 Weekdays, excluding Thursday, 8 a.m. to 5 p.m., Eastern Time (ET) and Thursdays, 8:30 a.m. to 5 p.m., Eastern Time (ET)...
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