Sanjoy Musunuri joined CareSource in 2020 as Executive Vice President, Strategy and Business Development, where he oversees the advancement of new and innovative strategies that create growth opportunities and extend...

...business Corrective action of any identified fraud, waste and/or abuse are available in the provider manual. For provider terminations/suspensions information, see the CareSource Fair Hearing Plan (coming soon). Prohibited Affiliations...

...Department. If you would like to discuss an adverse decision with physician reviewer, please call the Utilization Management department at 1-800-488-0134 within five business days of the determination. Access to...

...15 business days then CareSource will provide a status update to the provider every five business days beginning on the 15th business day until the dispute is resolved. External Medical...

...adopt our policy on fraud, waste and abuse when handling CareSource business. The Federal False Claims Act Using the False Claims Act (the Act), you can help reduce fraud against...

...business day. CareSource® strives to make it easy for you to work with us, whether online or over the phone. For questions not addressed on our website, please call Provider...

...your busy schedule. Examples include: Contracting and Credentialing Screening, Brief Intervention and Referral to Treatment (SBIRT) Provider Satisfaction Surveys Provider Portal Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Assignment...

...needed to remain responsive to member needs, provider feedback, standards of care and business needs. Goals and Objectives CareSource strives to be a top performing health plan nationally. Performance goals...

...member benefits, and more to make it easier for you to do business with us. Note: To access, you may need to download Adobe Acrobat Reader. VIEW THE CARESOURCE PASSE...

...During regular business hours, your call will be answered by our Utilization Management department. If calling after regular business hours, the call will be answered by CareSource24®, our Nurse Advice...