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HIPAA and HITECH Responsibilities
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/hipaa-hitech/...HIPAA covered entities must promptly notify affected individuals of breaches of PHI, as well as the HHS Secretary and the media in cases where a breach affects more than 500...
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Referrals & Prior Authorization
https://www.caresource.com/plans/marketplace/benefits-services/referrals-prior-authorization/...services that you get outside of the CareSource network are not normally considered covered services. However, services will be covered when you receive them from an out-of-network provider connected to...
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Prior Authorization
https://www.caresource.com/plans/marketplace/benefits-services/prior-authorization/...normally considered covered services. However, services will be covered when you receive them from a non-network provider connected to an in-network hospital (for example, an anesthesiologist’s services performed during a...
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Mississippi CHIP
https://www.caresource.com/plans/mississippi-chip/...questions and more. Education Who can get CHIP? Eligible children up to age 19 can get CHIP coverage. Children who qualify for Medicaid or have health insurance cannot get CHIP....
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Marketplace No Surprises Act Model Notice
https://www.caresource.com/about-us/legal/marketplace-no-surprises-act-model-notice/...plan generally must: Cover emergency services without requiring you to get approval for services in advance (prior authorization) Cover emergency services by out-of-network providers Base what you owe the provider...
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Opioid Toolkit
https://www.caresource.com/providers/education/patient-care/health-safety-welfare/opioid-toolkit/...Substance Use Among Youth – Risk factors for high-risk substance use and prevention Safe Medication Management DisposeRx – Medication disposal resources and education Naloxone – Utilization and education Benefits Behavioral...
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Behavioral Health
https://www.caresource.com/behavioral-health/Behavioral health and substance abuse services are covered services for Humana – CareSource® members. Beacon Behavioral Health Humana – CareSource contracts with Beacon Behavioral Health to oversee behavioral health-related functions,...
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HIPAA Privacy Practices - Indiana Marketplace
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-indiana-marketplace/...to use genetic information to decide whether we will give you coverage. We cannot use it to decide the price of that coverage. Example: We may use your information to...
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HIPAA Privacy Practices - Kentucky Marketplace
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky-marketplace/...to use genetic information to decide whether we will give you coverage. We cannot use it to decide the price of that coverage. Example: We may use your information to...
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HIPAA Privacy Practices - West Virginia Marketplace
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-west-virginia-marketplace/...to use genetic information to decide whether we will give you coverage. We cannot use it to decide the price of that coverage. Example: We may use your information to...
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