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COVID-19 Information and Resources
https://www.caresource.com/members/tools-resources/covid19/...of Coverage. You can also call Member Services using the phone number found on the back of your CareSource member ID card. Fraud Warning to Medicaid Members People may try...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/...member and will be determined when the claim is received for processing. Providers and their office staff are encouraged to use self-service channels to verify member eligibility. These reimbursement policies...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...timeframe a member and/or provider has to appeal. To initiate the peer-to-peer process, please call CareSource’s Utilization Management team at 1-833-230-2101. CareSource® evaluates prior authorization requests based on medical necessity,...
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/Member Rights As a member of CareSource you have the following rights: To get information about CareSource, its services, providers, and member rights and duties. To get all services that...
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Medicaid
https://www.caresource.com/plans/medicaid/...and HIP Basic members are both able to access most health services like doctor visits, prescriptions and hospital stays. HIP Plus provides excellent coverage. Members receive all key health benefits...
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ARP Special Edition Broker Newsletter
https://www.caresource.com/producers/tools-resources/newsletters/arp-special-edition-broker-newsletter/...(APTC) that lower member monthly premiums. Members will be receiving communications about this from CareSource via email and inserts included in member invoices. Member Communications Click here to view the...
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Understanding Your Costs
https://www.caresource.com/members/tools-resources/understanding-your-costs/...Services if you need help. Member Services can help answer questions about your EOB or claims. Call Member Services or Care Management if you need help. Member Services can help...
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Fitness Program
https://www.caresource.com/plans/marketplace/benefits-services/fitness/...also use the Active&Fit Connected!™ tool to track your fitness goals. Since this is a benefit to CareSource members only, you will access Active&Fit through your MyCareSource.com member portal account...
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Make A Payment
https://www.caresource.com/members/tools-resources/make-a-payment/...of the federal poverty guideline.* Check your eligibility at Low Cost Marketplace Health Care, Qualifying Income Levels | HealthCare.gov. Reporting Changes Eligibility for the tax credit can change throughout the...
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CareSource PASSE
https://www.caresource.com/plans/caresource-passe/...by our members. Member Resources Care Coordination Care Coordination You are at the center of all decisions. We make sure that all parts of your care are coordinated by a...
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Mem Eligibility