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Behavioral Health Carve-In
https://www.caresource.com/providers/education/patient-care/behavioral-health-carve-in/...about benefits, claims, member eligibility and more. Call CareSource at 1-800-488-0134 if you have questions or concerns. We are available Monday to Friday, 7 a.m. to 8 p.m. Additional Resources...
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Make A Payment
https://www.caresource.com/members/tools-resources/make-a-payment/...of the federal poverty guideline.* Check your eligibility at Low Cost Marketplace Health Care, Qualifying Income Levels | HealthCare.gov. Reporting Changes Eligibility for the tax credit can change throughout the...
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Provider Overview
https://www.caresource.com/providers/...Claims File a Dispute or Appeal Prior Authorization Additional Links Check Eligibility Education Education Learn more about our programs and other topics to assist you with caring for your patients....
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...SEC. 2913.40 MEDICAID ELIGIBILITY FRAUD, OHIO REVISED CODE SEC. 2913.401 FALSIFICATION, OHIO REVISED CODE SEC. 2921.13 OFFENSES BY MEDICAID PROVIDERS, OHIO REVISED CODE SEC. 5164.35 CareSource Policy It is the...
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Special Supplemental Benefits For The Chronically Ill
https://www.caresource.com/plans/mycare-snp/benefits-services/ssbci/...and expire at the end of the plan year. SSBCI eligibility opens the ability to use the allowance on the additional benefits and services. Eligibility You must meet specific eligibility...
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Special Supplemental Benefits For The Chronically Ill
https://www.caresource.com/plans/dsnp/benefits-services/ssbci/...and expire at the end of the plan year. SSBCI eligibility opens the ability to use the allowance on the additional benefits and services. Eligibility You must meet specific eligibility...
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OhioRISE
https://www.caresource.com/ohiorise/...about eligibility, covered services, Child and Adolescent Needs and Strengths (CANS) assessments, how to get more information on OhioRISE, contact information for questions, and more. OhioRISE Community Partner Flier –...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...get treatment, drugs, and other care Have too many ER visits for problems that are not an emergency Lie about eligibility for Medicaid Pharmacies that: Don’t give drugs as written...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...services. CareSource will provide an authorization from the date of eligibility with CareSource to the end of the already approved service. The provider will have to submit a request for...
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HIPAA Privacy Practices - Kentucky
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky/...for military, national security, and prisoner care purposes. Government Eligibility: Humana – CareSource will give your data to government entities involved with your health care benefit eligibility. Worker’s Compensation: Humana...
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ELIGIBILITY