...rendered Retaining payments made in error by CareSource Payments stemming from kickbacks or Federal Stark Law violations Duplicate payments for services Member: Inappropriate use of Medicaid/Medicare purchased narcotics Forging prescriptions...

...Health Center (CMHC) setting. It may be offered if you were recently in the hospital. It includes one-on-one and group therapy. Treatment happens during the day. You do not have...

...how those costs are applied in different settings. You can also find these documents in your My CareSource® portal account under Documents, and on CareSource.com/marketplace under Plan Documents. Schedule of...

...select “Provider Maintenance” from the navigation. Incident Reporting Form Incident Report Form To report incidents, HCBS and PRTF providers should utilize the DHS DDS Incident Reporting Portal online, if they...

...to keep your Medicaid benefits, report it: money your bank account info debit card info credit card info Do not respond. It is a scam. CareSource and the state will...

...Improvement (IHI) Model for Improvement Ensuring that CareSource is effectively serving members with culturally and linguistically diverse needs Ensuring that CareSource is effectively serving members with complex health needs Assessing...

...protected from surprise billing or balance billing. What is “balance billing” (sometimes called “surprise billing”)? When you see a doctor or other health care provider, you may owe certain out-of-pocket...

...us. We can read the information aloud for you, in English or in your primary language. We also can help you if you are visual or hearing impaired. If you...

...authorized before the service is delivered. CareSource is not able to pay claims for services in which prior authorization is required, but not obtained by the provider. 2026 Prior Authorization...

...allows you to quickly look up information such as how to contact us, how to request an ID card and how to pay your bill. Select your state to view...