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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...Program design is to ensure the organization delivers on all aspects of care delivery for CareSource MyCare Ohio members based on their unique needs. We monitor, analyze and identify opportunities...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...issues, the member’s written consent, which must be specific to the service being appealed, is only valid for that appeal and must be signed and dated by the member. Please...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...someone to be considered for the GA LIP, please click here and provide the following information: Member’s name Member’s date of birth Member’s CareSource ID number Drug Safety Recalls Sometimes,...
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FAQs
https://www.caresource.com/members/education/faqs/...Get a CareSource member ID Card, Plan Documents or Change Your Doctor How do I get a new CareSource member ID card? You can get a new member ID card...
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Contact Us
https://www.caresource.com/members/contact-us/...registered nurses. Members can call the CareSource24 toll-free number located on their ID cards 24 hours a day, 7 days a week, 365 days a year. Our nurses can help...
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FAQs
https://www.caresource.com/providers/education/faqs/...delivery charge is received, CareSource will determine the Medicaid allowed amount and then subtract the primary insurance paid amount. CareSource will pay any remaining liability up to the Medicaid allowed...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...(CDC) View COVID-19 Information Coronavirus (COVID-19) Partner Toolkit Coronavirus (COVID-19) Partner Toolkit Centers for Medicaid and Medicare Services (CMS) Go To Toolkit Vaccine Toolkit Vaccine Toolkit Centers for Disease Control...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...with information sufficient to identify the member, shall be deemed notice to us. Submit claims to: CareSource, P.O. Box 8730, Dayton, OH 45401-8730 See your EOC or call Member Services...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...Error Number: 132 Error Description: Missing/Invalid Medicaid ID for Atypical Provider How to Fix: Ensure correct Medicaid ID is provided. Error Number: 187 Error Description: Date of Service (DOS) after...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...members with culturally and linguistically diverse needs Ensuring that CareSource is effectively serving members with complex health needs Assessing the characteristics and needs of the member population Assessing the geographic...
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