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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/...of eligibility Existing members – 12 months from the last redetermination date Have the Social Security number and/or DOB handy for the Head of Household Medicaid Member. Other DFCS info...
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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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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...Bill for more expensive care than you received Unbundle services to get a higher repayment Members who: Share their CareSource member ID card with another person Sell prescribed drugs or...
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Provider Resources
https://www.caresource.com/providers/provider-portal/...tools. Submit or Find A Claim Check Eligibility Check Eligibility Verify patient eligibility for coverage and learn more about health statuses. Check Eligibility Prior Authorization Prior Authorization View prior authorization...
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Forms
https://www.caresource.com/members/tools-resources/forms/...before you give birth. Member Claim Form – Use this form to submit a claim to us for services. Member Exception Request for Non-Formulary Medication Form – Use this form...
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Marketplace
https://www.caresource.com/plans/marketplace/...difference in our member’s lives, we offer $0 chronic care health plans. These innovative plans support members living with diabetes and heart conditions, in addition to overall improved plan options....
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Contact Us
https://www.caresource.com/providers/contact-us/...OH 45401-1947 You can also do business with us online any time day or night. Visit our Provider Portal to check claims, prior authorization status, member eligibility, coordination of benefits...
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Plan Documents
https://www.caresource.com/plans/marketplace/plan-documents/...that describes the relationship between CareSource, and CareSource members. It serves as your contract with CareSource and describes CareSource members’ rights, responsibilities and obligations. It also tells you how the...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...with us and assist you in serving our members. CareSource wants to equip you to work with our health plan to provide the best service for our members. The following...
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Patient Care
https://www.caresource.com/providers/education/patient-care/...members – your patients. Visit the Patient Care webpages below for information and resources that help us work together to provide best care for our members: Behavioral Health Find behavioral...
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Mem Eligibility