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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/As an entity that offers Medicaid and Medicare coverage, CareSource® is required to comply with certain provisions of the Deficit Reduction Act. One such provision requires us to provide you...
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Appeals
https://www.caresource.com/members/tools-resources/grievance-appeal/appeal/...can request a State Hearing. A state hearing is a meeting may include: You Someone from the local County Department of Job and Family Services Someone from our plan A...
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Watch & Learn
https://www.caresource.com/plans/tricare-prime-demo/watch-and-learn/Understand what’s new, what stays the same, and how to make the best choice for you and your family. Download Full Transcript Download Resource Guide What You’ll Learn Clear Answers....
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Kids Health
https://www.caresource.com/members/education/kids-health/We have resources with trusted answers and advice for the whole family – including kids and teens! Watch the video below to learn more about the importance of well-child visits...
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Transportation
https://www.caresource.com/members/education/transportation/We want to make sure you never have to choose between spending money on transportation to attend doctor visits, grocery visits, or community engagement activities or food for your family....
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...an ID card in the mail in your new member booklet. Each person in your family who is a CareSource member will have a card. Learn About Your Benefits. Read...
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Rights & Responsibilities
https://www.caresource.com/plan-documents/rights-responsibilities/...in CareSource staff. To contact the United States Department of Health and Human Services Office of Civil Rights and/or the Ohio Department of Job and Family Services’ Bureau of Civil...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...coordinate their care. TRICARE Prime® Demo by CareSource Military & Veterans™ is available to active-duty family beneficiaries (ADFMs), retirees, their families, and survivors residing in the CPD designated service areas....
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...page. Preferred Drug Lists Click the link that corresponds to your member’s plan: Planning for Healthy Babies (P4HB) Family Planning PDL P4HB Inter-pregnancy Care (IPC) PDL Online Drug Formularies We...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/To learn more about appeals and how to file an appeal for your plan, choose your plan from the drop down list above, then click GO. An appeal is how...
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