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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...receipt of a pharmacy prior authorization request. If it is an emergency, a 72-hour override may be used so that you can get your medicine. Prior authorization requests for a...
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Plan Documents
https://www.caresource.com/plans/dsnp/plan-documents/...scheduled. If you have questions about the prior authorization process or status, please call Member Services. Your provider can submit a request for a prior authorization using the Prior Authorization...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/...on when a prior authorization is required. You can also review our prior authorization list. Supplemental Benefits For 2026, CareSource Marketplace Plans feature the following supplemental benefits: TruHearing® provider network...
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Healthy Indiana Plan (HIP) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hip-benefits/...Enhanced Benefits Yes Yes Therapies / Reabilitative Services Combined visits each year for physical therapy, occupational therapy, speech therapy, cardiac and pulmonary rehabilitation: 60 visits for HIP Basic 75 visits...
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Hoosier Healthwise (HHW) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hhw-benefits/...Member Services at 1-844-607-2829 (TTY: 711) to learn more. Speech Therapy Yes Yes Respiratory Therapy Yes Yes Occupational Therapy Yes Yes Physical Therapy Yes Yes CareSource Hoosier Healthwise (HHW) benefits...
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/...Obstetrical Care-Hospital Inpatient Admissions Outpatient Physical Therapy, Occupational Therapy, and Speech-Language Pathology P Policy Development Process Program Integrity Provider Prepayment Review R Readmission Retrospective Authorization Review S Sentinel Events and...
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Training & Events
https://www.caresource.com/providers/education/training-events/Earn rewards for keeping your patients healthy! Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...a CareSource provider, you can easily access members’ benefits to best serve their needs. Prior Authorization Pharmacy Planning for Healthy Babies® Member Handbook Quality Improvement CareSource continually assesses the quality...
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Comprehensive Formulary
https://www.caresource.com/plans/dsnp/pharmacy/drug-formulary/...Prior Authorization Policies (Coming Soon) 2025 Medicare Part B Drug Prior Authorization Policies Step Therapy Criteria – For certain drugs, we require you to first try another drug to treat...
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Prescription Drug Formulary
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/preferred-drug-list/...faxing it to us. Prior Authorization On your Formulary, Prior Authorization limits will show “PA” next to the drug name. If a drug has a Prior Authorization limit, we need...
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