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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...members with culturally and linguistically diverse needs Ensuring that CareSource is effectively serving members with complex health needs Assessing the characteristics and needs of the member population Assessing the geographic...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...Our free disease management support helps our members find a path to better health through information, resources and support. We help our members through: The MyHealth online program for members...
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Newsletters
https://www.caresource.com/members/education/newsletters/...MemberSource Newsletter Fall 2019 MemberSource Newsletter Summer 2019 MemberSource Newsletter Spring 2019 MemberSource Winter 2018 MemberSource Fall 2018 MemberSource Summer 2018 MemberSource Spring 2018 MemberSource Winter 2017 MemberSource Fall 2017...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...members. CareSource PASSE members are informed of their rights and responsibilities via their member handbook. Please review our member rights and responsibilities and ensure your practice is in compliance. We...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...will reach out to you when you join CareSource PASSE. Get your CareSource PASSE member ID card Your member ID card comes in your New Member Booklet. Always keep your...
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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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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...Members may access Member Services by calling our toll-free number, 1-833-230-2099, 7 a.m. to 7 p.m. (TTY for the hearing impaired: 1-800-743-3333) and following the menu prompts. Members may access...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...or multiple pharmacies Sharing a member ID card Obtaining unnecessary equipment/supplies Changing prescription forms to get more than the amount of medication prescribed by their physician Member receiving services or...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...All internal appeal requests must have: The covered person’s name and ID number as shown on the ID card The provider’s name The date of the medical service The reason...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...(CDC) View COVID-19 Information Coronavirus (COVID-19) Partner Toolkit Coronavirus (COVID-19) Partner Toolkit Centers for Medicaid and Medicare Services (CMS) Go To Toolkit Vaccine Toolkit Vaccine Toolkit Centers for Disease Control...
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