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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/Member Rights As a member of CareSource you have the following rights: To get information about CareSource, its services, providers, and member rights and duties. To get all services that...
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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/...may not be available in all parts of Georgia. Some may be based on eligibility. You must complete a well visit and dental visit and have those up to date...
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Drug Transition Policy
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-transition-policy/...a.m. to 8 p.m. Monday through Friday, and from October 1 through March 31 we are open the same hours, seven days a week. Eligibility To be eligible for a...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...to: Submit electronic claims and authorizations Receive remittance advice reports View fee schedules Verify patient eligibility View patient service history View provider dental home member panels View and downloading provider...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...method you received verification of 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...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...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 any additional services for review...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/Quick References COVID-19 information Pharmacy information, including our Preferred Drug Lists (PDLs) Medical, pharmacy, reimbursement and administrative policies We strive to make partnering with us simple. We’re aware things may...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...Fraud (Ohio Revised Code Section 2913.40) Medicaid Eligibility Fraud (Ohio Revised Code Section 2913.401) Falsification (Ohio Revised Code Section 2921.13) Offenses by Medicaid Providers (Ohio Revised Code Section 5164.35) Kentucky...
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How to Apply
https://www.caresource.com/about-us/caresource-foundation/how-to-apply/...format. Additional documents may be attached to the application in the online system. ELIGIBILITY To qualify for grant funding, organizations must be tax-exempt under the IRS Code Section 501(c)(3). The...
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Foundation FAQ
https://www.caresource.com/about-us/caresource-foundation/foundation-faqs/...at any time. Please refer to the How to Apply section for information on when applications are reviewed throughout the year. I didn’t pass the eligibility quiz. Why not? The...
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ELIGIBILITY