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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/...(prior authorization) in order for it to be covered by your plan. The health partner who orders the drug should help you get a prior authorization. The prior authorization requirements...
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Forms
https://www.caresource.com/members/tools-resources/forms/...you can get the service. Your provider can submit a request for a prior authorization using this form. A list of services that require Prior Authorization is available on the...
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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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FAQs
https://www.caresource.com/members/education/faqs/...every month? CareSource PASSE care coordinators are here to help you and your family. Your health and wellness is our top priority. We will work with you, your family, caregivers...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...and your authorized representative must fill out the HIPAA Authorization Form and send it to us by fax or mail if you want us to talk to your authorized representative....
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...a link between your office and CareSource. It provides important information on topics such as covered services, services that require prior authorization, claim submission, and more. View the Dental Provider...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...needs and taking appropriate action Providing phone coverage for handling patients’ calls 24/7 Following all referral and prior authorization policies and procedures as outlined in the Provider Manual Complying with...
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Plan Documents
https://www.caresource.com/plans/dsnp/plan-documents/...scheduled. If you have questions about the prior authorization process or status, please call Member Services. Your provider can submit a request for a prior authorization using the Prior Authorization...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...receipt of a pharmacy prior authorization request. If it is an emergency, a 72-hour override may be used so that you can get your medicine. Prior authorization requests for a...
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Multi-Factor Authentication
https://www.caresource.com/multi-factor-authentication/...called Multi-Factor Authentication (MFA), and this process will be implemented for all new and existing users who register and log in to the Provider Portal. This page explains what it...
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prior auth