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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...that addresses children and adolescents Be based on perinatal care, care for children up to 24 months of age, care for children 2-19 years of age, care for adults 20-64...
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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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Hoosier Healthwise (HHW) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hhw-benefits/...care service. Plan – This is the health coverage you get through CareSource The HHW program covers children up to age 19 and some pregnant women. There is little or...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...on CareSource.com/marketplace under Plans. Your plan include your Summary of Benefits and Coverage, Schedule of Benefits and Evidence of Coverage (your contract with CareSource). The back of your ID card...
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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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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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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...CareSource’s Utilization Management 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...
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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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Medicaid
https://www.caresource.com/plans/medicaid/...them you want to choose CareSource. Switch to CareSource If you were assigned to another managed care plan and want to switch to CareSource, call the Ohio Medicaid hotline, complete...
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CareSource Hoosier Healthwise Plan C