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Claims
https://www.caresource.com/providers/provider-portal/claims/...Medicaid enrollment and credentialing, eliminating the need to submit documentation to multiple MCOs. Provider Network Management (PNM) System: The PNM system serves as the official record for Medicaid provider data,...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/CareSource MyCare Ohio allows individuals to select Medicaid only coverage from the plan managing their CareSource MyCare Ohio benefits. Individuals may choose to have CareSource MyCare Ohio either: Provide their...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/CareSource wants to equip you to provide the best service for our members. The following materials will help familiarize you with the CareSource Ohio Medicaid plan. You will find key...
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Tools & Resources
https://www.caresource.com/providers/tools-resources/...on the latest news. Learn More Drug Formulary Drug Formulary Look up medications for your patient’s plan. Learn More Forms Forms Find forms for contracting, authorization, claim submission and more....
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Education
https://www.caresource.com/providers/education/...CareSource patients. Access Resources Quality Improvement Quality Improvement Learn more about our quality programs and measures. Learn More Reporting Fraud, Waste & Abuse Reporting Fraud, Waste & Abuse Learn how...
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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/...has not passed its own false claims statute, there may nevertheless be liability under various Ohio laws regarding false or fraudulent claims with respect to Medicaid/Medicare program expenditures, including: Medicaid...
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After Pregnancy
https://www.caresource.com/members/education/pregnancy/after-pregnancy/...eight new moms suffer from postpartum depression (PPD). PPD can be mistaken for the baby blues at first. The symptoms of PPD are more intense than the baby blues. It...
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Education
https://www.caresource.com/members/education/...balanced eating. Learn to Eat Healthy MyResources MyResources Programs for food, shelter, financial support, and more. MyResources We want you to have what you need for your health. Mental Health...
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Plans
https://www.caresource.com/plans/...includes medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, surgeries, and family planning. Learn More Access Plan Documents GEORGIA FAMILIES® MEDICAID GEORGIA FAMILIES® MEDICAID Free...
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...broad range of wellness, preventive health and chronic disease management tools are also available on the CareSource member website, newsletters or upon request. If you would like more information on...
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