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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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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/...There are easy ways to connect: Visit www.Teladoc.com/CareSource. Call 1-800-TELADOC (835-2362). Get a referral from CareSource24®. Download the Teladoc app from your smartphone. What Can I Expect From a Teladoc...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...CareSource does not require referrals to see an in-network specialist. The specialist may require a referral from the member’s PCP. Some services and procedures require prior authorization. Referrals and prior...
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Contact Us
https://www.caresource.com/providers/contact-us/...45401 Disease Management 1-844-438-9498 Care Management 1-855-202-0729 Referral fax: 844-417-6255 Behavioral Health 1-855-202-1058 Quality Improvement 1-855-202-1058 Appeals 1-855-202-1058 Fax: 1-937-531-2398 CareSource Attn: Health Partner Appeals-Georgia, P.O. Box 2008 Dayton OH...
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Forms
https://www.caresource.com/providers/tools-resources/forms/We have compiled all of the essential forms in one place for you to utilize. Select the applicable form(s) for reporting, credentialing, claims, and more. Note: You may need to...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...referral under the Contract Health Services program administered by the Indian Health Service. Our Policies Explanation of Benefits After you receive health care services, you will receive a written Explanation...
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Diabetes
https://www.caresource.com/plans/marketplace/diabetes/...require a referral from your PCP or CareSource. Expanded Formulary: Includes drugs like Ozempic®, Trulicity® and Rybelsus®. Home Delivery Option: Use Express Scripts® to get your maintenance medications. 90-day supplies...
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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/...can find any health problems early and treat them, or make a referral to a specialist for treatment, before the problem gets more serious. Some services may require a referral...
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Healthy Heart
https://www.caresource.com/plans/marketplace/healthy-heart/...blood pressure cuff per eligible member. OTHER PLAN HIGHLIGHTS INCLUDE: Cardiac Care Network: Access to a premium network of cardiologists and hospitals. Specialist Visits: No referral needed for visits to...
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Mental Health
https://www.caresource.com/members/education/mental-health/...doctor’s referral or pre-approval for most outpatient treatment. You can call 24 hours a day, 7 days a week. We want to make sure you get the right services quickly....
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referral