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Press Release
https://www.caresource.com/about-mstc/mississippi-news/key-executives-appointed-to-lead-operations-and-compliance/...and regulatory expertise to our team at a critical moment,” said Ashley Thompson, CEO of TrueCare. “Their leadership will help ensure we deliver on our commitment to high-quality, patient-centered care...
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Accessibility and 508 Compliance
https://www.caresource.com/about-mstc/legal/accessibility-and-508-compliance/...to the needs of the qualified individual with a disability, Ensure that all covered programs, services, activities, and facilities are accessible, Make reasonable modifications in their policies, practices, and procedures...
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Prior Authorization
https://www.caresource.com/plans/marketplace/benefits-services/prior-authorization/...Although your provider should get a prior authorization from us, you may want to ensure that your provider has received our approved prior authorization. Many other services do not need...
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Comprehensive Formulary
https://www.caresource.com/plans/dsnp/pharmacy/drug-formulary/...Coverage Requirements For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. This ensures our members use these drugs in a safe way. The types...
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Electronic Visit Verification
https://www.caresource.com/providers/education/patient-care/electronic-visit-verification/...S9131/UB: Home Health Physical Therapy by a Qualified Physical Therapy Assistant If you are providing any of the above Home Health Services, you need to ensure you are connected with...
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Referrals & Prior Authorization
https://www.caresource.com/plans/marketplace/benefits-services/referrals-prior-authorization/...and most inpatient hospital stays require prior authorization. Although your provider should get a prior authorization from us, you may want to ensure that your provider has received our approved...
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Farm Stress Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/farm-stress-toolkit/...to combat stigma, provide resources, and ensure availability of quality mental health services for farmers and their families. Reference: https://www.wane.com/news/indiana/mental-health-matters-purdue-extension-focusing-on-farmers-mental-health/ We are committed to addressing farm stress in the agricultural...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...specialists. If needed, your PCP should prescribe medication on the CareSource Marketplace Drug Formulary to ensure it will be covered and you get the best price possible. You can also...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...forfeiting all Medicaid payments until complying. TrueCare will take steps to monitor TrueCare-contracted providers to ensure compliance with the Law. TrueCare Policy It is the policy of TrueCare to detect...
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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/CareSource is required to prevent, identify, investigate, correct and report (FWA). As a CareSource FDR, you share these same responsibilities and requirements. In order for you to be able to...
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