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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/...birth. Some groups have even more discounts. Ask what is included when you sign up. YMCA® Memberships are covered at participating YMCAs. Request a YMCA Voucher at YMCAvoucher@CareSource.com. These offers...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...issued in the appropriate time frame. Please see “Denied Expedited Appeals” for more information about what happens if a request for expedited appeal review is denied, and “Extending an Appeal”...
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Pharmacy
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/...for your prescriptions to find out what drugs are covered and at what amounts for your plan. Specialty Pharmacy CareSource works with Accredo Specialty Pharmacy to supply specialty medications that...
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Comprehensive Formulary
https://www.caresource.com/plans/dsnp/pharmacy/drug-formulary/...prescribed by your physician. 2025 Step Therapy Criteria (Updated on 12/01/2025) 2025 Medicare Part B Drug Prior Authorization Policies What Are My Options Can I receive coverage for drugs not...
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Third-Party Application Data Sharing
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/third-party-use-of-health-data/...not use it. Think about: What health info will this app get from me? Will this app save other data like my location? Will my data be stored safely? How...
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HAP CareSource JobConnect For Members
https://www.caresource.com/members/tools-resources/hap-caresource-life-services/members/...what a difference it can make in people’s lives! HAP CareSource JobConnect is here to help. You can voluntarily enroll in the program to work with a life coach who...
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HPV Toolkit
https://www.caresource.com/members/education/preventive-care/hpv/...your child’s health. The American Cancer Society (ACS) breaks down what you should know about the human papillomavirus (HPV) and how to best prevent HPV cancers. ACS recommends the HPV...
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Medicare Prescription Payment Plan
https://www.caresource.com/members/tools-resources/find-my-prescriptions/medicare-prescription-payment-plan/...is within 72 hours of the date and time the urgent prescription claim(s) were processed. What Happens Once I Join? Once you have been accepted into the program, we will...
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Welcome
https://www.caresource.com/welcome/...have details about what the plan covers, what drugs are covered and more. See Your Plan Documents Benefits at a Glance Benefits at a Glance See a list of all...
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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...take with you, or tell you what to do. Standing Referral Members with ongoing care can see a specialist. A standing referral from a PCP is needed. Continuity of Care...
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