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Medicare Diabetes Prevention Program (MDPP)
https://www.caresource.com/plans/dsnp/benefits-services/enhanced-benefits/medicare-diabetes-prevention-program-mdpp/If you are at risk for diabetes, we can help you with lifestyle changes! With MDPP you can get training in areas such as: Long-term dietary changes Increased physical activity...
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Laboratory
https://www.caresource.com/providers/education/patient-care/laboratory/CareSource® covers laboratory testing services for our members. Laboratory service providers can access the following tools to help them provide efficient and quality care. Policies Providers can view CareSource’s laboratory...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...treat you fairly. You are not satisfied with the quality of care you received. CareSource denies a service. CareSource gives partial approval to cover a service. CareSource denies payment of...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...Industry-Leading Clinical Guidelines. Learn about these clinical guidelines. These medical policies apply to CareSource MyCare Ohio plan. Medical policies offer guidance on determination of medical necessity and appropriateness of care...
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/...if CareSource cannot give a covered service in network. To get information about CareSource from us. To make suggestions about CareSource’s member rights and responsibility policy. To only be responsible...
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Suicide Prevention Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/suicide-prevention-toolkit/...risk” (CAMS-care). Learn more: What is the “Collaborative Assessment and Management of Suicidality” (CAMS)? (CAMS-care) Dr. David Jobes on the CAMS Approach (Collaborative Assessment & Management of Suicidality) (PsychAlive) Collaborative...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...not involve an adverse benefit determination. These types of decisions may cover: The availability, delivery or quality of health care services; Claims, payments, handling or reimbursement for health care services;...
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Gold Plans
https://www.caresource.com/plans/marketplace/plan-documents/gold-plans/...CareSource Evidence of Coverage – Vision And Fitness Plan Rider 2025 CareSource Evidence of Coverage 2025 CareSource Evidence of Coverage – Vision And Fitness Plan Rider 2025 CareSource Evidence of...
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Vendor Compliance FAQ
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/frequently-asked-questions/...manage their compliance efforts. Please click on the expandable menus below to review. Should you have additional questions, please email 3rdPartyRiskandComplianceOversight@CareSource.com and we will get back as soon as possible....
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HDHP Preventive and Preventive Silver Plans
https://www.caresource.com/plans/marketplace/hdhp/...taxed. Care Management Program: Every CareSource HDHP Preventive Member has their own Care Manager, a single point of contact with CareSource, to help you navigate and understand your health benefits....
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