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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/At CareSource, we streamline our business practices to limit the administrative burden on you and our members. Our goal is to make it easier for you to help our members...
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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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Eligibility for TrueCare™ MississippiCAN
https://www.caresource.com/plans/mississippican/eligibility-for-mississippican/TrueCare serves members through the MississippiCAN program. You must receive Mississippi Medicaid and be a resident of Mississippi to be in this program. Only certain members qualify for MississippiCAN. Below...
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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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Eligibility and Enrollment
https://www.caresource.com/plans/tricare-prime-demo/eligibility-and-enrollment/...& VeteransTM: Active-duty family members Family members of Guard/Reserve sponsors who are activated Retirees, retiree family members, survivors who aren’t eligible for Medicare Beneficiaries enrolled in the Transitional Compensation Program...
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Eligibility for Children’s Health Insurance Program (CHIP)
https://www.caresource.com/plans/mississippi-chip/eligibility-for-childrens-health-insurance-program-chip/...part of CHIP. Eligibility is based on: Family household income The age of each child The child’s insured status Populations Income Level Newborn to age 1 194% FPL to 209%...
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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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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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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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Mem Eligibility