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Part C Medical Plan Rights
https://www.caresource.com/es/members/tools-resources/grievance-appeal/part-c-medical-plan-rights/Organization Determinations (Decisions) An organization determination is a decision (approval or denial) made by CareSource regarding payment of benefits. Requesting an Organization Determination As a member of CareSource Medicare Advantage,...
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Prior Authorization-es
https://www.caresource.com/es/providers/provider-portal/prior-authorization/...Prior Authorizations 2022 Behavioral Health Medicaid Benefits Continuum Resource 2022 HCBS Medicaid Benefits Continuum Resource CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness and benefit limits. Services...
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About
https://www.caresource.com/es/about-caresource-passe/...Medicine and affiliated with White River Medical Center, Ozark Health Medical Center, Stone County Medical Center and Unity. Dr Zini served on the Board of AFMC for 10 years and...
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Forms
https://www.caresource.com/es/members/tools-resources/forms/...medical expenses that should have been covered under your CareSource benefits. Member Claim Form – Use this form to request to be reimbursed if you paid for medical expenses that...
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Encuentre la formación profesional de un médico
https://www.caresource.com/es/members/tools-resources/where-to-get-care/find-doctors-professional-training/...de Consejo GRATIS según la especialidad Consejo Americano de Especialidades Médicas (American Board of Medical Specialties) – GRATIS Consejo Americano de Anestesiología (American Board of Anesthesiology) – GRATIS Consejo Americano...
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Utilization Management
https://www.caresource.com/es/utilization-management/...developed health care services, medical devices, therapies and treatment options. Coverage is based on state laws, external technology assessment guidelines, Food and Drug Administration (FDA) approval and medical literature recommendations....
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Additional Services
https://www.caresource.com/es/plans/mycare/benefits-services/additional-services/...less than 30 miles at no cost to you, including: Doctor visits Medical tests Treatments A pharmacy to get a prescription filled after a medical appointment County redetermination In addition...
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Información y recursos sobre COVID-19
https://www.caresource.com/es/members/tools-resources/covid19/...sus síntomas, salud general y dónde obtener atención. Servicios de telemedicina: se recomienda usar los servicios de telemedicina disponibles a través de su proveedor médico principal (primary medical provider, PMP)...
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Audiencia estatal y revisión externa
https://www.caresource.com/es/members/tools-resources/grievance-appeal/state-hearing-external-review/...para revisiones estándar o dentro de 72 horas para revisiones expeditas. Esto será definitivo y CareSource lo seguirá. Debe enviar la solicitud a: PeachCare for Kids® Independent Medical Review Request...
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Preguntas frecuentes (FAQ)
https://www.caresource.com/es/members/education/faqs/Servicios cubiertos ¿Qué tipo de servicios se ofrecen a través del programa CareSource Life Services®? Uno de los servicios es asistencia laboral y para el desarrollo profesional. Puede recibir orientación...
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