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Centralized Credentialing & Single Pharmacy Benefit Manager
https://www.caresource.com/providers/tools-resources/centralized-credentialing-single-pharmacy-benefit-manager/...information on the Provider Master File (PMF) through Medicaid Information Technology System (MITS), prior to the anticipated freeze. Provider Updates for October 1 Launch To submit a new Ohio Medicaid...
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Mental Health And Wellness
https://www.caresource.com/plans/dsnp/benefits-services/behavioral-health/mental-health-and-wellness/...Other Types of Care You may need partial hospitalization, Intensive Outpatient Treatment and other special outpatient care, home-based care and more. You will need prior authorization for this care. Your...
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Mental Health and Wellness
https://www.caresource.com/plans/mycare/benefits-services/behavioral-health/mental-health-and-wellness/...This care could be for mental health and/or substance use needs. This is not a complete list of benefits. You may need approval or prior authorization before getting some of...
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Mental Health and Wellness
https://www.caresource.com/plans/medicaid/benefits-services/behavioral-health/mental-health-and-wellness/...Treatment and other special outpatient care, home-based care and more. You will need prior authorization for this care. Your provider will get this for you. Care Management Our Care Management...
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RIGHTS & RESPONSIBILITIES
https://www.caresource.com/plans/mihealthlink/plan-documents/rights-responsibilities/...at least 30 calendar days prior to the intended effective date of the change. To be protected from liability for payment of any fees that are the obligation of the...
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Ed Stubbers, Chief Legal Officer
https://www.caresource.com/about-us/executive-leadership/ed-stubbers-chief-legal-officer/...communities and individuals who rely upon government programs such as Medicaid, Medicare and Marketplace to access vital health care services. Prior to joining CareSource, Ed has held various Legal and...
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David Herndon, President, North Carolina Market
https://www.caresource.com/about-us/executive-leadership/david-herndon-president-north-carolina-market/...blind and disabled managed care plans and has built both acute and long-term care provider networks, launched new Medicare and Medicaid plans, and developed value-based payment models. Prior to joining...
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Early & Periodic Screening, Diagnostic & Treatment Wellness Visit
https://www.caresource.com/plans/mycare/early-periodic-screening-diagnostic-treatment-wellness-visits/...hearing exam a check of shot records other tests as needed *Some of these tests and treatment services may require approval or prior authorization from your child’s provider. Moms should...
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Dr. Cameual Wright, President, Indiana Market
https://www.caresource.com/about-us/executive-leadership/dr-cameual-wright-president-indiana-market/...individuals with complex medical and social needs through access to high-quality, comprehensive care. Prior to her current role, Dr. Wright was chief medical officer for CareSource Indiana. She was instrumental...
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HIP Tobacco Use Surcharge
https://www.caresource.com/plans/medicaid/hip-tobacco-use-surcharge/...chewing tobacco, cigarettes, cigars, pipes, hookah or snuff four or more times a week over the prior six months. How does the state or CareSource know if a member is...
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