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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...identified in the Disease Management programs receive help finding the appropriate level of care for their condition, and they are encouraged to actively participate in the patient-provider relationship. The programs...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...CareSource benefits and services. If you are dissatisfied with a provider, disagree with a decision we have made, or are you are unhappy with something about our health plan, let...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...et seq. (Quality Measurement and Improvement, External Quality Review), and 42 CFR Part 164 (Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Requirements) Establishing safe clinical practices throughout...
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Medicaid
https://www.caresource.com/plans/medicaid/...page. HIP Plus and HIP Basic Plans HIP Plus and HIP Basic are two options available to Indiana Medicaid members at or below the federal poverty level (FPL). HIP Plus...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...CareSource of members who may benefit from case management. Please see the “Member Support Services and Benefits” section on how to refer members for case management. In addition, CareSource PCPs...
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Mental Health
https://www.caresource.com/members/education/mental-health/...My Benefits CareSource members get more with their benefits. Learn more about what’s covered. Member Handbook Evidence of Coverage and Schedule of Benefits Where to Get Care Substance Use Disorder...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...Member Benefits As a HAP CareSource provider, you can easily access members’ benefits to best serve their needs. Prior Authorization Pharmacy Quality Improvement HAP CareSource continually assesses the quality of...
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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/...Dental Services Routine dental checkups and dental cleanings are covered under Hoosier Healthwise, HIP Plus, HIP State Plus, and HIP State Basic and HIP Maternity plans. You can find a...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...on the Provider Portal. Pharmacy benefits are also shut off after 30 days of nonpayment. If the member brings themselves current within the 90 days, pharmacy benefits will be reinstated...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...member benefits, and more to make it easier for you to do business with us. Note: To access, you may need to download Adobe Acrobat Reader. VIEW THE CARESOURCE PASSE...
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HIP Benefits