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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/CareSource® offers care coordination that can provide a broad spectrum of educational and follow-up services for your patients. You can access care plans online through the provider portal to easily...
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Welcome
https://www.caresource.com/plans/marketplace/welcome/...provider while you change to in-network providers with your new plan. Call Member Services to get this started. Get Up and Running! When You Are Coming From Another Plan (another...
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Electronic Visit Verification
https://www.caresource.com/providers/education/patient-care/electronic-visit-verification/...an in-home visit by a provider. This applies to PCS provided under sections 1905(a)(24), 1915(c), 1915(i), 1915(j), 1915(k) and Section 1115; and HHCS provider under 1905(a)(7) of the Social Security...
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Substance Use Disorder
https://www.caresource.com/members/education/mental-health/addiction-help/...disease from needle sharing. Find a needle exchange program near you. Go to https://nasen.org/directory. Find a Provider Use our Find a Doctor tool to find providers like family therapists, social...
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Tools & Resources
https://www.caresource.com/providers/tools-resources/...More Forms Forms Find forms for contracting, authorization, claim submission and more. View Forms Provider Policies Provider Policies View medical, reimbursement, pharmacy and administrative provider policies. Review Policies Quick Reference...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...All internal appeal requests must have: The covered person’s name and ID number as shown on the ID card The provider’s name The date of the medical service The reason...
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Behavioral Health Carve-In
https://www.caresource.com/providers/education/patient-care/behavioral-health-carve-in/...enrolled as a provider type 95 (community substance use disorder program) with provider specialty 950 AND either licensed by OhioMHAS as a methadone treatment administration program (provider specialty 951) AND/OR...
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Non-Participating Provider Appeals
https://www.caresource.com/providers/provider-portal/appeals/non-participating-provider-appeals/Appeals Non-participating providers may request reconsideration of a claim denial. You must request an appeal within 90 calendar days of the date of the remittance advice. Non-contracted providers have 90...
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Education
https://www.caresource.com/providers/education/...with caring for your patients. Become a Provider Become a Provider Fill out a contracting application to join the CareSource network. Become A Provider ICD-10 ICD-10 Find resources related to...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/CareSource’s covered routine dental benefits are administered by Delta Dental. Delta Dental Phone: 1-833-778-7003 Routine Dental Providers Please use the Providers Dental Provider Login menu option of the Provider Portal...
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