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Michael Taylor, President, Kentucky and West Virginia Markets
https://www.caresource.com/about-us/executive-leadership/michael-taylor-president-kentucky-market/...plans. Most recently he served as Executive Director, Kentucky for Evolent Health based in Lexington, Kentucky, where he led both Medicare Advantage and Marketplace plans. His past experience includes senior...
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HIPAA Privacy Practices - Kentucky Marketplace
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky-marketplace/This notice describes how health information about you may be used and given out. It also tells how you can get this information. Please review it carefully. We will refer...
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KENTUCKY CARESOURCE CATASTROPHIC
https://www.caresource.com/plans/marketplace/plan-documents/catastrophic-plans/ -
HIPAA Privacy Practices - Kentucky
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky/What is This Notice? This Notice of Privacy Practices is required by the Health Insurance Portability and Accountability Act (HIPAA) of 1996. This notice describes how medical information about you...
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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...Programs and the National Committee for Quality Assurance (NCQA). CareSource credentials providers using guidelines from the Kentucky Department of Insurance and the National Committee for Quality Assurance (NCQA).CareSource credentials providers...
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Pharmacist Provider Status
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacist-provider-status/...Therapy Management (MTM) network, visit. Some examples of plans for which pharmacists can bill for medically necessary services: Kentucky Marketplace plans West Virginia Marketplace plans Ohio Medicaid and Ohio D-SNP...
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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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Guardianship
https://www.caresource.com/members/education/planning-ahead/guardians/...Georgia Guardianships Kentucky: Kentucky State Guardianship What is a Guardian? A guardian is someone chosen by a court legally in charge of another person. When will a Guardian be chosen?...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...Law: Kentucky has not enacted a false claims statute with a qui tam provision comparable to the federal False Claims Act. However, Kentucky law does permit the Kentucky Attorney General...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/As an entity that offers Medicaid and Medicare coverage, CareSource® is required to comply with certain provisions of the Deficit Reduction Act. One such provision requires us to provide you...
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