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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...Members may lose Medicaid eligibility at any time. A detailed view and explanation of the member ID card is available in the Member ID Card Flier. Member Consent When you...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...benefit members and member written consent for Medicaid-Only members. View Clinical Appeals Clinical Appeals A clinical appeal is a written request by a provider to review a prior authorization denial...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...member use. All CareSource® members choose or are assigned a primary care provider (PCP) upon enrollment in the plan. PCPs should help facilitate a medical home for members. This means...
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FAQs
https://www.caresource.com/members/education/faqs/...member ID Card, Plan Documents or Change Your Doctor How do I get a new CareSource PASSE member ID card? You can get a new member ID card by logging...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...relevant to the CareSource membership. The topics for these guidelines are identified through analysis of the enrolled membership. These guidelines are the clinical basis for the prevention, wellness, disease management...
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Request Patient Services
https://www.caresource.com/providers/tools-resources/request-patient-services/...Member Services Members access Member Services by calling our toll-free number, 1-855-202-0729 (TTY for the hearing impaired: 1-800-255-0056), 7 a.m. – 7 p.m. Eastern Standard Time (EST), and following the...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...Error Number: 132 Error Description: Missing/Invalid Medicaid ID for Atypical Provider How to Fix: Ensure correct Medicaid ID is provided. Error Number: 187 Error Description: Date of Service (DOS) after...
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Contact Us
https://www.caresource.com/members/contact-us/...to our members. If you have any problems reading or understanding this information, please call our Member Services team or use our TTY for hearing impaired members at the number...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...Meeting the quality requirements of the Centers for Medicare and Medicaid Services (CMS) Meeting the requirements of the CareSource Indiana contract with the Office of Medicaid Policy and Planning Establishing...
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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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