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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...pre-approval. There may also be differences between the Healthy Indiana Plan and Hoosier Healthwise plans. More details are in the HHW and HIP Summary of Benefits sections. Questions about PA?...
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Marketplace No Surprises Act Model Notice
https://www.caresource.com/about-us/legal/marketplace-no-surprises-act-model-notice/...or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits Count any amount you pay for emergency services...
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My CareSource Rewards Program
https://www.caresource.com/benefits-services/rewards/my-caresource-rewards/...check with your primary care provider (PCP) or Care Manager to see what services you may need. Additional Information Rewards will be added to your Healthy Benefits+ card. You get...
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...inform and guide the provision of clinical care to beneficiaries. CPGs do not create new benefits or coverage rules and shall not supersede or replace the requirements of the TRICARE...
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Care Management
https://www.caresource.com/benefits-services/care-management/...providers Understand your benefits Get transportation to health visits Fill out the Health Risk Assessment (HRA) Find community resources And more! If you don’t know who your Care Manager is,...
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Common Compliance Terms
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/common-compliance-terms/...contracts with Medicare to provide all Part A and B benefits. Medicare Advantage Plans include Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), Private Fee-for-Service Plans, Special Needs Plans, and...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/CareSource is required to prevent, identify, investigate, correct and report (FWA). As a CareSource FDR, you share these same responsibilities and requirements. In order for you to be able to...
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myStrength
https://www.caresource.com/members/education/mystrength/...stop tobacco use Inspirational daily quotes Features to set goals and earn badges when goals are met. Health topics Ready to start? Get it through My CareSource or visit https://www.teladochealth.com/benefits/caresource...
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Behavioral Health
https://www.caresource.com/behavioral-health/...including: Contracting and credentialing Claims processing and payment Referrals and triage Care management Contact Beacon at 1-877-380-9729 to: Verify available behavioral health and substance abuse benefits Seek an appointment Seek...
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MyResources
https://www.caresource.com/members/education/myresources/...your location, needs and circumstances. Use this tool to manage your Medicaid and food assistance benefits anytime. You can also apply for other assistance programs through the portal. To check...
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