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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/A grievance is a formal complaint about us, our providers or the care you get. You or an authorized representative may file a grievance at any time. Call Member Services...
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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/...signing up When you have a reason to change, such as: You want to be on the same plan as a family member, You need care or providers that are...
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Part D Prescription Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-d-prescription-plan-rights/...Determination Online: Complete the Coverage Determination Request Form online. Call: Member Services Fax or Mail: Download the Coverage Determination Request Form and fax or mail it to us. Fax: 1-877-251-5896...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/...at 1-833-230-2099 (TTY: 711). 24-Hour Nurse Advice Line – Members may call any time of the day or night to speak to a registered nurse about health and medical concerns....
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Plan Documents
https://www.caresource.com/plans/dsnp/plan-documents/...links below: Find A Doctor/Provider, an online search tool to find doctors, hospitals and other providers covered under your plan. . Click on Get Started and fill out your location....
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...All internal appeal requests must have: The covered person’s name and ID number as shown on the ID card The provider’s name The date of the medical service The reason...
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Quick Start Steps for New Members
https://www.caresource.com/members/tools-resources/quick-start-guide/quick-start-steps/...to be in the CareSource nework. Make sure the health care providers you plan to use are in the CareSource network. In most cases, CareSource does not pay for charges...
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Substance Use Disorder Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/substance-use-disorder-toolkit/...first line of defense to getting these members needed treatment. CareSource is committed to increasing SUD screening, brief intervention, and referral to treatment (SBIRT) with our providers who see members...
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Education
https://www.caresource.com/members/education/...options. Where To Get Care Care Coordination Care Coordination Get support tailored to you. We can work with you and your providers to coordinate your care. Care Coordination Interactive Health...
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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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