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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...eligible during the entire duration of the Inpatient Facility Stay Reason for Error: The member’s eligibility termed before the discharge date. How to Fix: Make sure all service lines are...
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Mississippi CHIP
https://www.caresource.com/plans/mississippi-chip/...where you live. Find your regional office. Phone: Call the Office of Eligibility toll-free at 800-421-2408 and ask for them to mail you an application. You can also ask for...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...Journey Maps OH|ID Registration Provider Enrollment and Credentialing in PNM Member Eligibility Verification Prior Authorization Submission Claims Submission Member Eligibility Verification Prior Authorization Submission Claims Submission Additional Resources ODM Provider...
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Fitness Program
https://www.caresource.com/plans/marketplace/benefits-services/fitness/...account by visiting ActiveandFit.com and click the Check Eligibility button in the upper right corner of the page. For more detailed information on how to enroll, you can download this...
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Medicaid
https://www.caresource.com/plans/medicaid/HEALTH CARE WITH HEART There is a reason more Ohioans choose CareSource for their Medicaid plan than all other plans combined. It’s because CareSource is more than just quality health...
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My CareSource Rewards®
https://www.caresource.com/benefits-services__trashed/rewards/my-caresource-rewards/...Test (FOBT) (Needed Yearly) $25 Health Needs Assessment (HNA) All Adults New members $50.00 if completed within the 1st 30 days of eligibility; $25 if completed within 31-90 days of...
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Planning for Healthy Babies® (P4HB®)
https://www.caresource.com/plans/planning-for-healthy-babies/...no cost. P4HB has three programs: Family Planning Inter-pregnancy Care (IPC) Resource Mother (Care Management) Eligibility Requirements The Department of Community Health sends you a letter to let you know...
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Ending or Changing Membership
https://www.caresource.com/plans/mississippi-chip/ending-or-changing-membership/We hope you will be happy with TrueCare™. If you have problems or concerns about your benefits, please call us so we can try to help resolve them. Call Member...
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Understanding Your Costs
https://www.caresource.com/members/tools-resources/understanding-your-costs/The first thing to know is that a covered service or benefit, in most cases, is not free to you. There are costs that come with most care. Knowing the...
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MA-Dual Special Needs
https://www.caresource.com/plans/dsnp/...D-SNP) is available in select counties in Ohio. VIEW PLANS BY ZIP CODE Eligibility Those who are eligible for Medicare Parts A & B, full Medicaid benefits (QMB, QMB+, FBDE,...
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ELIGIBILITY