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Baby Care
https://www.caresource.com/members/education/pregnancy/baby-care/...first year of life. No brand of infant formula is best for all babies. You may need to try many different brands and types to find what works best for...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...Controlling high blood pressure Behavioral health Follow-up after hospitalization for mental illness Antidepressant medication management Follow-up for children prescribed ADHD medication Safety Use of imaging studies for low back pain...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...guidelines as PDF documents. Musculoskeletal and Cardiac procedures will require prior authorization for medical necessity and will be reviewed by TurningPoint Healthcare Solutions, LLC for adherence and consistency with these...
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Healthy Heart
https://www.caresource.com/plans/marketplace/healthy-heart/...cardiologists and other specialists for comprehensive care, covered with a low copay. Advanced Treatment Options: Coverage for advanced cardiac treatments and procedures. Cardiac Rehabilitation: Regular sessions are essential for recovery...
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Eating Healthy
https://www.caresource.com/members/education/eating-healthy/...for Kids Eating Healthy for Adults Eating Healthy for Teens Eating Healthy for Older Adults Nutrition Help for Parents If you are a parent, it often comes down to you...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...protection to providers for the member’s first 30 days of delinquency. Thereafter, if the member is terminated for nonpayment, all monies paid to the provider for months two and three...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...for our members. The following materials will help familiarize you with CareSource’s Ohio D-SNP plans. You will find key information that will make it easier for you to do business...
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It’s Your Birthday Month!
https://www.caresource.com/members/education/diabetes-checkup/...that once you complete the tests listed above and your PCP files a claim for them, you’ll be able to redeem your rewards. Allow 45-60 days for processing. Note that...
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Access & Availability Standards
https://www.caresource.com/providers/provider-portal/access-availability-standards/About the National Committee for Quality Assurance (NCQA) The National Committee for Quality Assurance (NCQA) is a nonprofit organization that works to improve the quality of health care. NCQA develops...
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Mental Health And Wellness
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/mental-health-and-wellness/...Treatment and other special outpatient care, home-based care and more. You will need prior authorization for this care. Your provider will get this for you. 24-Hour Nurse Advice Line Call...
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