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Pharmacy
https://www.caresource.com/benefits-services__trashed/pharmacy/...Tier 6 (Select Care Drug) $0 $0 $0 *Initial Coverage after 30-day retail, 90 day mail order. Cost-sharing may change depending on the pharmacy you choose, days’ supply and what...
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Renew Your Benefits
https://www.caresource.com/members/tools-resources/renew-benefits/Don’t Risk Losing Your CareSource Health Care To stay a CareSource member, you need to renew your Medicaid benefits every year. This is done through the Georgia Division of Family...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...Pharmacy Prior Authorizations. What is a Preferred Drug List? HIP Plus & State Plan Plus ( English | Spanish) HIP Basic, HIP State Plan Basic & Hoosier Healthwise Packages A...
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Healthy Pregnancy Guide
https://www.caresource.com/members/education/pregnancy/healthy-pregnancy-guide/...positive, congratulations! Visit What to Expect to learn more about pregnancy. Many women start noticing the signs of pregnancy two to three weeks after conception: the queasy stomach, tender breasts,...
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Videos
https://www.caresource.com/members/education/videos/Learn more about the following topics with these videos: Georgia Welcome Video What is My CareSource? Common Health Care Terms Explained HIPAA Privacy Life Services Success Story: Lenora KidsHealth Video...
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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/To Find a Pharmacy near you, simply type in your city or zip code and follow the prompts. CareSource PASSE pays for all medically necessary, CMS participating, Medicaid-covered FDA-approved products...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...and Prior Authorization Requirements Please access our covered services and prior authorization requirements to check what services require prior authorization. Please note that covered services and prior authorization requirements may...
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Rights & Responsibilities
https://www.caresource.com/plan-documents/rights-responsibilities/...or therapy. If you say no, the doctor or our plan must talk to you about what could happen and they must put a note in your medical record about...
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Drug Transition Policy
https://www.caresource.com/benefits-services/pharmacy/drug-transition-policy/...it is temporary and explaining your options. When you are using a temporary supply of a drug, you should talk with your provider to decide what to do when your...
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State Fair Hearings
https://www.caresource.com/members/tools-resources/grievance-appeal/state-fair-hearings/...service, you may have to pay if: You withdraw the hearing request. You withdraw the request for continuation of services. The decision is not in your favor. What happens at...
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