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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...– please get it immediately. You should get emergency and urgent care from the nearest and most appropriate health care provider. If you receive urgent or emergency care from a...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...least one that addresses children and adolescents Be based on perinatal care, care for children up to 24 months of age, care for children 2-19 years of age, care for...
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FAQs
https://www.caresource.com/members/education/faqs/cdmvheart Care Coordination What is a care coordinator? A care coordinator will connect you and your family with community support. They coordinate the services you are already getting and any...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/CareSource North Carolina Co., d/b/a/ CareSource Your Responsibilities Be Enrolled and Pay Required Premiums Benefits are available to you only if you are enrolled for coverage under the plan. To...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...will be returned with no action taken. Claim disputes can be submitted to CareSource through the following methods: Provider Portal Fax: 937-531-2398 Mail: CareSource Attn: Provider Appeals P.O. Box 1947...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...care treatment plans and notifying CareSource of members who may benefit from care coordination. In addition, CareSource PCPs play an integral part in coordinating health care for our members by...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...Public Health Emergency Guidance COVID-19 Public Health Emergency Guidance Health and Human Services VIEW PUBLIC HEALTH EMERENCY INFORMATION Resources Information for Healthcare Professionals Information for Healthcare Professionals Centers for Disease...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...CareSource® offers care and disease management that can provide a broad spectrum of educational and follow-up services for your patients. Care Management Program CareSource’s Care Management Program fully integrates physical...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...10/01/2020 Claim Payment Advice (835) Enhancements 09/23/2020 Emergency BH Hospitalization Initial Medical Necessity Reviews 09/22/2020 Home Health Value Code Requirement 09/16/2020 DentaQuest Transition of Care Reminder 09/10/2020 Claim Remittance Delay...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/Before providing care or prescribing medicine for your patients, please review the CareSource® MyCare Ohio (HMO D-SNP) Medicare Part D formulary and Medicaid List of Covered Drugs. Formulary Use the...
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EmergEncy care