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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...website. CareSource also uses the annual member CAHPS survey to capture member perspectives on health care quality. CAHPS is a program overseen by the AHRQ. Potential CAHPS measures include: Customer...
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FAQs
https://www.caresource.com/members/education/faqs/cdmvheart Care Coordination What is a care coordinator? A care coordinator will connect you and your family with community support. They coordinate the services you are already getting and any...
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FAQs
https://www.caresource.com/providers/education/faqs/...the claim as if CareSource was the primary payer. Once the delivery charge is received, CareSource will combine all prenatal visit charges with the delivery charges. CareSource will subtract the...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...care treatment plans and notifying CareSource of members who may benefit from care coordination. In addition, CareSource PCPs play an integral part in coordinating health care for our members by...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...doctor. All CareSource Marketplace members have access to: No-cost, 24-hour registered nurses through our CareSource24® Nurse Advice Line. No-cost, 24-hour telehealth care providers through Teladoc®. No-cost telehealth mental health and...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...team at 1-833-230-2168. CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Transition of Care CareSource will coordinate continuity of care for members who have...
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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/...can change your plan before getting full benefits. You can do this within 60 days. Your health plan choice will run through the calendar year. You will pick your plan...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...you will find quick reference guides and additional resources: Clinical Practice Registry Guide Comprehensive Primary Care & Comprehensive maternal Care Reference Guide Electronic Visit Verification FAQs Electronic Visit Verification Requirements...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...Resources - UPDATE 01/27/2023 CareSource and TurningPoint Partnership for Cardiac and Musculoskeletal Surgical Procedures - UPDATE 01/26/2023 Ohio Next Generation Managed Care: New ODM Communication Available 01/24/2023 Postpartum Depression Screening...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/CareSource MyCare Ohio allows individuals to select Medicaid only coverage from the plan managing their CareSource MyCare Ohio benefits. Individuals may choose to have CareSource MyCare Ohio either: Provide their...
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CareSource Hoosier Healthwise Plan C