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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/...to 5 p.m. You may leave a message about UM issues after normal business hours. You may also use the website to contact UM during and after normal business hours....
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Transportation
https://www.caresource.com/members/education/transportation/...and other approved activities for all members not eligible for monthly bus passes through the Medicaid program Methadone treatment at a clinic Parental visits with your infant in an inpatient...
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Ariba Network
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/ariba-network/...create a company profile, and find new business through SAP Ariba Discovery. Completing a company profile allows buying organizations to locate your company when searching for suppliers by product and...
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Common Compliance Terms
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/common-compliance-terms/Abuse is defined as, provider practices that are inconsistent with sound fiscal, business or medical practices, and result in an unnecessary cost to the Medicaid/Medicare program, or in reimbursement for...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/To have your health care services covered by your CareSource plan, you must get them from a network provider. The only exceptions are: In cases of emergency; If you need...
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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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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...for you, including a provider, may file an appeal verbally or in writing. They need your written consent to act for you. We’ll send you a letter within 3 business...
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February 2021 Broker Bulletin
https://www.caresource.com/producers/tools-resources/newsletters/february-2021-broker-bulletin/...brokers, this communication which will be delivered on a monthly basis, will provide important information on doing business with CareSource for both Medicare and Marketplace products across our service areas....
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Open Enrollment Deadlines
https://www.caresource.com/plans/marketplace/open-enrollment-deadlines/...plan changes, we will mail ID card(s) with your new plan info about 7-10 business days after we receive your first month’s payment. How Do I Download My ID Card?...
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Devon Valencia, Chief Information Officer
https://www.caresource.com/about-us/executive-leadership/devon-valencia-chief-information-officer/...providing technology leadership for the $20 billion company with four million members. Devon holds a bachelor’s degree in business finance from the University of the Pacific-Eberhardt School of Business. She...
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