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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...this upcoming requirement. Error Number: 562 LOB: Ohio Medicaid Error Description: No Rendering NPI for behavioral health (BH) Claims or NPI missing for referring provider How to Fix: If you...
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Rights & Responsibilities
https://www.caresource.com/plan-documents/rights-responsibilities/...it is not in your best interest. To get information on any medical or behavioral health care treatment, given in a way that you can follow. To be sure others...
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Provider Overview
https://www.caresource.com/providers/...Most Popular Become A CareSource Provider Patient Care Additional Links Behavioral Health Health Care Links Newsletters & Communications Pharmacy Quality Improvement Reporting Fraud, Waste & Abuse Training & Events Tools...
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Executive Leadership
https://www.caresource.com/about-us/executive-leadership/...to ensure member needs are met across the full continuum of care. Using a comprehensive physical, behavioral, social and pharmaceutical framework, he positions the organization to enhance the care and...
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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...Find a Doctor tool. This tool will show you: Primary care providers (PCPs) Primary dental providers (PDPs)/Dental Home Specialists Hospitals Download the machine-readable Provider Directory here (json) Member Materials Behavioral...
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/...address. Contact your PCP after going to an Urgent Care or after medical or behavioral health care. Let CareSource and the county caseworker know if you are covered by other...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...Medicaid Managed Care program. Stage 1 Implemented: On July 1, 2022, OhioRISE began providing specialized services, which will help children and youth with behavioral health needs and help those that...
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Preventive Services
https://www.caresource.com/benefits-services__trashed/preventive-services/Preventive services include: “Welcome to Medicare” preventive visit (one-time). Abdominal aortic aneurysm screening. Alcohol misuse counseling. Bone mass measurement. Breast cancer screening (mammogram). Cardiovascular disease (behavioral therapy). Cardiovascular screenings. Cervical...
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Hoosier Healthwise (HHW) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hhw-benefits/.../ Habilitative Services Type of Service Package A Package C Prior Authorization Needed? Applied Behavioral Analysis (for Autism Spectrum Disorder) Yes Yes Some of these services require prior authorization. Call...
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MA-Dual Special Needs
https://www.caresource.com/plans/dsnp/Those who are eligible for Medicare Parts A & B, full Medicaid benefits (QMB, QMB+, FBDE, SLMB+), and live in our service area can join CareSource Dual Advantage or CareSource...
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Behavioral