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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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Forms
https://www.caresource.com/providers/tools-resources/forms/...Document for Behavioral or Psychiatric Conditions Clients < 18 years of Age A newly signed and dated form by all parties is required for changes in antipsychotic chemical entity or...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...family. The care model focuses on the whole patient, with support and advice for prevention, behavioral health and oral health. The model provides many benefits to the member and provider,...
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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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Clinical Innovation
https://www.caresource.com/providers/education/patient-care/pharmacy/clinical-innovation/...to our membership. Key Clinical Areas and Programs: Behavioral Health Child Psychotropic Medication Monitoring Substance Use Disorder High MME (Morphine Milligram Equivalent) Medication Disposal Packets: Opioid Rising Risk – Treatment...
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Caregiver Tools
https://www.caresource.com/members/tools-resources/caregiver-resources/caregiver-tools/...conditions, behavioral health and healthy living from the Education page. Access your plan webpages for the Member Handbook, benefits and services and other plan information. My CareSource Members can use...
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Care & Disease Management
https://www.caresource.com/members/education/care-disease-management/...Hypertension Obesity Attention deficit disorder Congestive heart disease Organ transplants Behavioral health conditions Substance use disorders Perinatal conditions Cancer We also support members receiving foster services. We can work with...
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FAQs
https://www.caresource.com/members/education/faqs/...use concerns? Call the Behavioral Health Crisis line at 1-833-227-3464 to speak to a licensed behavioral health professional. Or call the Addiction Hotline at 1-833-674-6437 (TTY: 1-800-743-3333 or 711). How...
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FAQs
https://www.caresource.com/providers/education/faqs/CareSource PASSE™ may update this page with information about how to work with our plan. Have a question not addressed on this page? Contact Provider Services at 1-833-230-2100. You can...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/These medical policies apply to the CareSource plan. Medical policies offer guidance on determination of medical necessity and appropriateness of care for approved benefits. Benefit determinations and coverage decisions are...
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Behavioral