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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...care partners as well as between behavioral health care partners. Member Support Services Representatives are available to answer member questions regarding UM. Representatives are available by telephone Monday through Friday,...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...Program CareSource’s Care Management program fully integrates physical health, behavioral health, functional needs, and social determinants of health. Our Care Management program connects members and their families and/or caregivers with...
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Quality Improvement
https://www.caresource.com/members/tools-resources/quality-improvement/...Diabetes High blood pressure Care after being in a hospital for a behavioral health condition Care for children taking ADHD medicines We check how quickly our members get care and...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/These reimbursement policies apply to the TRICARE Prime® Demo by CareSource Military & Veterans™ plan. Reimbursement policies are designed to assist you when submitting claims to us. They are routinely...
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/...M N O P Q R S T U V W X Y Z A Against Medical Advice B Behavioral Health Service Record Documentation Standards C Claims Editing and Review...
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Substance Use Disorder
https://www.caresource.com/members/education/mental-health/addiction-help/...go alcohol and drug free. Your provider may want you to detox before you can go to residential treatment. Counseling and Behavioral Therapy Therapy is a critical part of recovery....
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Suicide Prevention Toolkit
https://www.caresource.com/providers/education/patient-care/health-safety-welfare/suicide-prevention-toolkit/...Therapies Topic Resources Cognitive Behavioral Therapy for Suicide Prevention Cognitive behavioral therapy is a short-term, evidence-based psychotherapy for treating a variety of psychiatric conditions, including suicidal behavior. Learn more: Cognitive...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...discuss the utilization management (UM) medical necessity determination of a denial or decrease in level of care with CareSource’s Medical Director/Behavioral Health Medical Director or designee within five business days...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/CareSource wants to equip you to work with our health plan to provide the best service for our members. The following materials will help familiarize you with the CareSource Ohio...
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Behavioral