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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...services to get a higher repayment Members who: Share their CareSource member ID card with another person Sell prescribed drugs or other medical equipment paid for by CareSource Provide inaccurate...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...Quick Reference Guide Member Benefits As a CareSource of North Carolina Co. provider, you can easily access members’ benefits to best serve their needs. Prior Authorization Pharmacy 2025 Member Handbook...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...grievance with the state or us. Call Member Services or send a letter to: CareSource Attn: Member Grievances P.O. Box 1947 Dayton, OH 45401 You can also file a grievance...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...us. Add your first and last name, member ID, phone number and any facts that help explain the issue. HAP CareSource G&A P.O. Box 1025 Dayton, OH 45401 Call: Member...
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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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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...standards and clinical practice guidelines to help inform and guide the provision of clinical care to members. CPGs are identified through member review of member population demographics and state/national priorities....
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Mental Health
https://www.caresource.com/members/education/mental-health/...CareSource members get more with their benefits. Learn more about what’s covered. Member Handbook Evidence of Coverage and Schedule of Benefits Where to Get Care Substance Use Disorder The path...
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Health and Social Partnerships
https://www.caresource.com/providers/education/health-equity/...members and understand that health-related social needs are significant contributors to member outcomes and quality of life. We adhere to the National Culturally & Linguistically Appropriate Standards (CLAS). Learn more...
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Mental Health And Wellness
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/mental-health-and-wellness/...you get the right services as soon as you can. The Member Services phone number is on your CareSource member ID card, as well as most print materials we send...
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Quality Improvement
https://www.caresource.com/members/tools-resources/quality-improvement/...the CareSource24®Nurse Advice Line. The number is on your CareSource member ID card. Call your Care Manager. We’re here to help. Call Member Services if you have questions. Member Services:...
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