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Tools & Resources
https://www.caresource.com/providers/tools-resources/Visit the resources in the table below to help you deliver the best services for our members. COVID-19 Information COVID-19 Information CareSource wants to ensure our providers have easy access...
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Provider Grievances
https://www.caresource.com/providers/provider-portal/provider-grievance/...30 days. We ensure that CareSource executives with the authority to require corrective action are involved in the provider complaint process. CareSource also allows providers to consolidate complaints or appeals...
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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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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...CareSource can help provide outreach and support to members throughout pregnancy and beyond to help ensure the best outcomes for mother and baby. To encourage utilization of the NOP process,...
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Accessibility and 508 Compliance
https://www.caresource.com/about-us/legal/accessibility-for-people-with-disabilities-and-compliance-with-section-508/...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 to...
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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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CareSource Compliance Snapshot
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/caresource-compliance-snapshot/...Compliance Plan, identify one area of your work where you can apply these concepts each day. That will keep the culture of compliance at CareSource strong and vibrant and ensure...
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Executive Leadership
https://www.caresource.com/about-us/executive-leadership/...and technical infrastructure, systems development and information technology operations. She also manages the implementation of system enhancements and serves as the HIPAA security officer to ensure compliance with all applicable...
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Find A Doctor
https://www.caresource.com/members/tools-resources/find-a-doctor/...the process to ensure they are qualified to provide care. Resources to check and compare quality for hospital providers in your area QualityCheck.org WCHQ Reports Leapfrog’s Hospital and Surgery Center...
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Care Coordination
https://www.caresource.com/plans/mich/benefits-services/care-coordination/...to ensure we support your physical, mental and social needs. We use a team approach with you at the center to support your needs. Your care team is a group...
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