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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/...– A health provider’s order for a drugstore to fill and give a drug to their patient. Prior Authorization – Pre-approved coverage from CareSource before health care is given. Providers...
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Behavioral Health Carve-In
https://www.caresource.com/providers/education/patient-care/behavioral-health-carve-in/...ODM/OhioMHAS specialty (Mental Health: 84 and/or Substance Use Disorder: 95, etc.) W9 Groups going through the initial contracting process may also be required to submit a roster of rendering providers...
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Marketplace No Surprises Act Model Notice
https://www.caresource.com/about-us/legal/marketplace-no-surprises-act-model-notice/...care facility that isn’t in your health plan’s network. “Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill...
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Centralized Credentialing & Single Pharmacy Benefit Manager
https://www.caresource.com/providers/tools-resources/centralized-credentialing-single-pharmacy-benefit-manager/...provider enrollments and carry out centralized credentialing functions. This transition will reduce administrative burden for providers and enable providers to focus on the more meaningful and important work of providing...
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Mental Health And Wellness
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/mental-health-and-wellness/...Doctor/Provider tool to find providers like family therapists, substance use counselors, social workers, community mental health centers and more. If you don’t see the help you need, call Member Services...
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Substance Use Disorder
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/substance-use-disorder/...Find a Doctor/Provider tool to find providers like family therapists, substance use counselors, social workers, community mental health centers and more. If you don’t see the help you need, call...
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Additional Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/additional-services/...and most recognized networks for vision care in the country. EyeMed is our exclusive network of providers for annual vision exams and glasses or contacts for our pediatric vision coverage,...
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Resources for Pregnant Members
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/resources-for-pregnant-members/...hotline is private and free. You, your partner and family can get help in English and Spanish before, during and after your pregnancy. You can talk with mental health providers,...
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Collaborative Care Model (CoCM) Initiative
https://www.caresource.com/providers/education/patient-care/behavioral-health/about-the-collaborative-care-model-cocm-initiative/...the regular clinic hours, if needed. Is there a specific enrollment process for providers? No, CareSource will identify eligible providers. Does this service require prior authorization? No, there are no...
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RIGHTS & RESPONSIBILITIES
https://www.caresource.com/plans/mihealthlink/plan-documents/rights-responsibilities/...providers; and member rights and responsibilities. To receive all services that our plan must provide. To be treated with dignity and respect. To be afforded privacy and confidentiality in all...
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