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Training & Events
https://www.caresource.com/providers/education/training-events/...care. Provider Attestation Education Form: Use this form to provide attestation of completing education requirements. Provider Education Series: Behavioral Health: Additional Trainings & Events: Training CareSource periodically offers training, available...
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Contact Us
https://www.caresource.com/members/contact-us/...We can get you interpreters for sign language or in the language you speak. You can also get materials in other formats like large print, Braille or audio. This is...
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Pharmacy Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/pharmacy-policies/...Drug Class within this document. Note: CareSource PA Forms are available on the Forms page under Pharmacy Prior Authorizations. CareSource will continue to maintain and post a Preferred Drug List...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...Health Outcomes Survey Over and underutilization patterns and trends On an annual basis, we formally evaluate our QI program and performance metrics against set goals. Our formal results inform our...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...Care form – PCP to Specialist (coming soon) Coordination of Care form – Specialist to PCP (coming soon) Depression Reference Guide Find a Doctor Forms Pregnancy Transportation & Interpreter Services...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/We realize that you perform administrative tasks in addition to tasks directly related to patient care. To assist you with these tasks, we’ve consolidated the information below. Member Billing Providers...
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Electronic Visit Verification
https://www.caresource.com/providers/education/patient-care/electronic-visit-verification/...health services claims billed to ODM, went into effect on March 1, 2025. At the time of this change, claims that require EVV must have a matching EVV visit record....
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/...policy) Medical Benefit Medications Clinical Review for Formulary and Non-Formulary Medications Multi-ingredient Compound Policy # A B C D E F G H I J K L M N O...
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ICD-10
https://www.caresource.com/providers/education/icd-10/...other industry ICD-10 websites. New CMS-1500 Claim Form Ohio Department of Medicaid (ODM) Tips & Alerts Claims Compliance Date Span Date Billing ICD-10 and Dental Claims Billing Unspecified Codes Inpatient...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/Our Provider Manual is a resource for working with our health plan. This manual communicates policies and programs and outlines key information, such as claim submission, and reimbursement processes, authorizations,...
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