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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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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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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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Provider Overview
https://www.caresource.com/providers/...Behavioral Health Health Care Links Newsletters & Communications Pharmacy Quality Improvement Reporting Fraud, Waste & Abuse Training & Events Tools & Resources Tools & Resources Access information to help 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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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...here (json) Member Materials Behavioral Health Tips for Better Overall Health Follow-Up Care for Kids and Teens with Attention Deficit Hyperactivity Disorder (ADHD) Member Rewards Infographic Newsletters MemberSource, the CareSource...
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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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Early and Periodic Screening Diagnostic and Treatment (EPSDT)
https://www.caresource.com/plans/medicaid/benefits-services/early-periodic-screening-diagnostic-treatment/...Necessary Follow-Up Care Follow-up care includes physical, behavioral or other health problems or issues found during a screening. This could include, but is not limited to, services such as: Visits...
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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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Behavioral