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CareSource - IN Medicaid, GA Medicaid, KY Medicaid and . OH Medicaid (excluding ABD adults and MAGI) Utilization Review Matrix 2021. The matrix below contains all of the CPT 4 codes for which Magellan Healthcare1 manages on behalf of CareSource. This matrix is designed to assist in the resolution of claims adjudication and claims questions related to those services authorized by … ................
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