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OhioRISE
https://www.caresource.com/ohiorise/...Better Health of Ohio and other stakeholders identified as members of the youth’s Child and Family Team on the integrated physical and behavioral health care of shared members. OhioRISE Overview...
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HIPAA Privacy Practices - Kentucky
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky/...care or with payment for your care if necessary. Member and Provider Claims Services Department: Humana – CareSource Member Services and Provider Claim Services will answer provider and member calls...
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Health, Safety & Welfare
https://www.caresource.com/providers/education/patient-care/health-safety-welfare/...Guidelines Suicide Prevention Tool Kit Member Benefits As a CareSource PASSE provider, you can easily access members’ benefits to best serve their needs using the following resources: Member Handbook Pharmacy...
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Rights & Responsibiities
https://www.caresource.com/plans/mich/plan-documents/rights-responsibiities/Member Rights As a member of our health plan, you have the right to: Receive information about HAP CareSource, your health care services as well as member rights and responsibilities...
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Open Enrollment Deadlines
https://www.caresource.com/plans/marketplace/open-enrollment-deadlines/...eligibility for an Advance Premium Tax Credit (APTC) or a Cost Sharing Reduction (CSR) plan. All household members that file a federal tax return should be included in your estimate...
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MIHealthLink
https://www.caresource.com/plans/mihealthlink/...and conditions. For other covered dental services, please see your member handbook on our Plan Documents page. Vision As a HAP CareSource MI Health Link member, we want to make...
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My CareSource Rewards®
https://www.caresource.com/benefits-services__trashed/rewards/my-caresource-rewards/...Test (FOBT) (Needed Yearly) $25 Health Needs Assessment (HNA) All Adults New members $50.00 if completed within the 1st 30 days of eligibility; $25 if completed within 31-90 days of...
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Planning for Healthy Babies® (P4HB®)
https://www.caresource.com/plans/planning-for-healthy-babies/...P4HB every 12 months. This is called redetermination. You will get a note from DCH before your deadline. New members – 12 months from the original date of eligibility Existing...
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DRUG TRANSITION POLICY
https://www.caresource.com/plans/mihealthlink/benefits-services/pharmacy/drug-transition-policy/...drug, or less if your prescription is written for fewer days. This is in addition to the above long-term care transition supply. Long-Term Care Facility Members Long-term care facility members...
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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/...vendors for goods or services Preventing members from accessing covered services resulting in underutilization of services offered Altering/destroying member materials, medical records, etc. Backdating forms The Federal False Claims Act:...
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Mem Eligibility