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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...if a CareSource employee acts inappropriately. Some examples are: Receiving gifts or kickbacks from vendors for goods or services purchased by CareSource Inappropriately marketing our company to potential members Behaving...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...To initiate the peer-to-peer process, please call CareSource’s Utilization Management team at 1-833-230-2101. CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Services That Require...
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...PASSE to measure their impact on member health outcomes. Review and approval of the guidelines are completed by the Market CareSource PASSE Provider Advisory Committee (PAC). The CareSource PASSE Enterprise...
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Contact Us
https://www.caresource.com/members/contact-us/...Information about our Care Management Program, designed to keep you and your family healthy! How to earn Rewards for completing healthy activities. CareSource MyLife CareSource MyLife is a personal, secure...
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Marketplace
https://www.caresource.com/plans/marketplace/...enrollment period, CareSource can help. We’ve been helping our members through uncertain times for over 30 years. CARESOURCE MARKETPLACE PLANS COVER ESSENTIAL HEALTH BENEFITS Preventive & wellness services Emergency services...
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Pharmacist Provider Status
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacist-provider-status/...for obtaining a CareSource Provider Contract: Visit https://www.CareSource.com. Hover over the “Providers” tab. A purple box appears on the right with a link to “Become a CareSource Provider!”. Select the...
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KENTUCKY CARESOURCE CATASTROPHIC
https://www.caresource.com/plans/marketplace/plan-documents/catastrophic-plans/ -
Welcome
https://www.caresource.com/providers/welcome/...with industry-leading accuracy and timeliness Leading the way in innovations to serve complex populations Getting Started Working with CareSource PASSE Educational Resources Welcome to CareSource Our mission is: Putting Members...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...CareSource Indiana makes information available about the CareSource Indiana Quality Management and Improvement program to members on the CareSource Indiana member website. Quality Metrics CareSource Indiana continually assesses and analyzes...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/CareSource North Carolina Co., d/b/a/ CareSource Your Responsibilities Be Enrolled and Pay Required Premiums Benefits are available to you only if you are enrolled for coverage under the plan. To...
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