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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...Find out about: benefits and services, where to get care, and rights and responsibilities. Georgia Families Member Handbook Member Handbook Update Planning for Healthy Babies Enrollee Handbook Georgia Pathways to...
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Staying Safe From Infections
https://www.caresource.com/members/education/preventive-care/staying-safe-from-infections/...and RSV are: Wash your hands. Stay away from people who feel sick. Disinfect your surfaces. Get all your vaccines. As a CareSource member, you also have access to easy-to-use...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...not involve an adverse benefit determination. These types of decisions may cover: The availability, delivery or quality of health care services; Claims, payments, handling or reimbursement for health care services;...
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Tobacco Cessation
https://www.caresource.com/members/education/smoking-cessation/...a leading cause of heart disease, cancer and lung problems. It harms others. Secondhand smoke kills over 50,000 people each year. Babies who breathe secondhand smoke are more likely to...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/Our Program Integrity Department handles cases of managed care fraud, waste or abuse. It can be done by providers, pharmacies, or members. Fraud means the purposeful misuse of or for...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here. # A B C D E F G H I...
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FAQs
https://www.caresource.com/providers/education/faqs/...designated by the Centers for Medicare & Medicaid Services (CMS), National Uniform Billing Committee (NUBC) and the American Dental Association (ADA). We cannot accept handwritten claims or superbills. Tips for...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/mih Let us know if you are unhappy or do not agree with a decision made by us or our providers. We want to make it right. Please call Member...
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COVID-19 Information and Resources
https://www.caresource.com/members/tools-resources/covid19/...the virus before they know they’re sick. Hand washing Wash your hands often with soap and water for 20 seconds. If you can’t wash your hands, use an alcohol-based hand...
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Tobacco-Free Youth
https://www.caresource.com/members/education/smoking-cessation/tobacco-free-youth/...would like help with quitting tobacco, call 1-800-QUIT-NOW (1-800-784-8669) for free resources and support. Another program you can check out is BecomeAnEX. You have access to hands-on information about how...
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