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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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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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Dr. David Williams, Executive Vice President and Chief Medical Officer
https://www.caresource.com/about-us/executive-leadership/dr-david-williams-executive-vice-president-and-chief-medical-officer/...care. Using a comprehensive physical, behavioral, social and pharmaceutical framework, he positions the organization to enhance the care and support of members with a focus on complex populations. With more...
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Care Coordination
https://www.caresource.com/providers/education/patient-care/care-coordination/...identify who the member would like to be part of their Person-Centered Team (PCT). The PCT is typically comprised of: Behavioral Health Provider(s) Familial/Community Supports Family Service Workers (if applicable)...
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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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Rights and Responsibilities
https://www.caresource.com/plans/caresource-passe/plan-documents/rights-responsibilities/...PCP after going to an Urgent Care or after getting medical or behavioral health care. Provide the information that CareSource PASSE and your providers need, to the extent possible, in...
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Jason Bearden, Regional Market President
https://www.caresource.com/about-us/executive-leadership/jason-bearden-regional-market-president/...CareSource, Jason served as chief executive officer for Beacon Health Options where he managed Georgia’s behavioral health and intellectual developmental disability health plan. Jason’s commitment to complex populations is shaped...
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Scott Markovich, Executive Vice President, Markets & Products
https://www.caresource.com/about-us/executive-leadership/scott-markovich-executive-vice-president-markets-products/...Strategy and Shared Services for Aetna. In addition, Scott worked for Magellan Healthcare, serving as President of Magellan Complete Care where he was responsible for their integrated physical and behavioral...
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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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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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Behavioral