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Part D Prescription Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-d-prescription-plan-rights/...Mail: Express Scripts, ATTN: Medicare Review P.O. BOX 66577 St Louis, MO 63166-6577 Providers can complete the Coverage Determination Request Form to give supporting statements for the request. Appeals An...
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Planning Ahead
https://www.caresource.com/members/education/planning-ahead/Advance Directives An advance directive is a written record about your future care and treatment. This includes mental health care. It helps your family and providers know your wishes about...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...Lists, also called PDLs. These are drugs that we like our providers to prescribe. These lists show the most common, but not all, drugs covered by our plans. Changes to...
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Planning for Healthy Babies® (P4HB®)
https://www.caresource.com/plans/planning-for-healthy-babies/...Family planning providers play a big role in your health care and in lowering the number of babies born with low birth weights. This is done through preventive services. These...
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Tools & Resources
https://www.caresource.com/providers/tools-resources/Visit the resources in the table below to help you deliver the best services for our members. COVID-19 Information COVID-19 Information CareSource wants to ensure our providers have easy access...
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Early and Periodic Screening Diagnostic and Treatment (EPSDT)
https://www.caresource.com/plans/medicaid/benefits-services/early-periodic-screening-diagnostic-treatment/...with a primary care provider (PCP), specialist, dentist, hearing, vision, and other CareSource providers to diagnose and treat problems or issues Inpatient or outpatient hospital care Clinic visits Prescription drugs...
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Lock-In Program
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/lock-in-program/...assigned designated providers. CSP enrollees must get medications using their designated providers, and coordinate medical services through their primary care provider (PCP). If you would like to refer someone to...
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Accreditations
https://www.caresource.com/about-us/accreditations/...other providers and administrative services — in order to continuously improve the quality of care and services provided to its members. NCQA Health Plan Accreditation includes rigorous on-site and off-site...
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Quality Improvement
https://www.caresource.com/members/tools-resources/quality-improvement/...and service Health Outcomes Survey (HOS) to assess patient reported outcomes Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey to measure member satisfaction Other experience and health outcome surveys...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/Please select your state. CareSource plans provide comprehensive, quality coverage that you can afford, understand and use. We offer individual and family plans with adult vision and fitness coverage. Benefits...
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