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COVID-19 Information and Resources
https://www.caresource.com/members/tools-resources/covid19/...Health Michigan Department of Health and Human Services Ohio Department of Health West Virginia Department of Health & Human Resources North Carolina Department of Health and Human Services Additional CDC...
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Flu Shot
https://www.caresource.com/members/education/preventive-care/flu-shot/...influenza. Influenza is a serious respiratory disease that affects your breathing. Influenza can lead to hospitalizations or even death for people who are at high risk for health-related issues. Still...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...request. Per OAC 5160-26-08.4, you must state how the member’s life, health, or return to maximum function would be seriously jeopardized if the appeal is not completed expeditiously. Submit your...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...fraudohio@ohioauditor.gov What Does Fraud, Waste and Abuse Look Like? Health care fraud, waste and abuse can be committed by health providers, members or pharmacies. Examples include the following. Health partners...
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HDHP Preventive and Preventive Silver Plans
https://www.caresource.com/plans/marketplace/hdhp/...coverage, including: Telehealth Teladoc Health connects you with licensed doctors, therapists and healthcare professionals anytime, anywhere—right from your phone or computer. These virtual healthcare visits make it easy and convenient...
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Depression Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/depression-toolkit/CareSource understands the importance of integrating physical and behavioral health care for seamless coordination of care across the health care continuum. We also understand there can be challenges when coordinating...
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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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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...send a member ID number, social security number or any health information. Please use the form or phone number above. This can help protect your privacy. You may also report...
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Medicaid
https://www.caresource.com/plans/medicaid/...to health care appointments, pharmacies and more. Plus, we never charge a copay for any medical or behavioral health service! Choose CareSource for your Ohio Medicaid health care plan and...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...non-participating health partners or who transition to or from another payer including those members identified as having special health care needs. For continuity of care request approvals for non-participating primary...
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