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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...someone to be considered for the GA LIP, please click here and provide the following information: Member’s name Member’s date of birth Member’s CareSource ID number Drug Safety Recalls Sometimes,...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...Services Providers may not bill members for any covered services, with the exception of copayments. Non-Covered Services A provider may, upon accepting a patient as a Georgia Families® member, charge...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...to make it easier for you to help our members access the care they need. We strive to make it easy for our members to access the behavioral health services...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...Improvement program to members on the CareSource Indiana member website. Quality Metrics CareSource Indiana continually assesses and analyzes the quality of care and services offered to our members. This is...
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Health and Social Partnerships
https://www.caresource.com/providers/education/health-equity/...Linguistically Appropriate Standards (CLAS). Learn more about cultural and linguistically appropriate services. The CareSource Cultural Competency Plan outlines our commitment to providing culturally-competent services to our members. We encourage our...
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Marketplace
https://www.caresource.com/plans/marketplace/...wellness services Emergency services Hospitalization Prescription drugs Outpatient care Pregnancy, maternity and newborn care Mental health and substance use disorder services Rehabilitative and habilitative services and devices Laboratory services Pediatric...
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FAQs
https://www.caresource.com/providers/education/faqs/...is important to verify member eligibility before providing services. Patients must be eligible CareSource® members at the time of service in order for services to be covered. CareSource offers several...
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Gold Plans
https://www.caresource.com/plans/marketplace/plan-documents/gold-plans/...3000 $10 $0 Chronic Care Services Diabetes Gold HMO 3000 $10 $0 Chronic Care Services and Adult Vision and Fitness Healthy Heart Gold HMO 3000 $10 $0 Chronic Care Services...
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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/...care plan as a family member You need services or providers that are not offered in the CareSource network Poor quality care For more information, see the Membership Termination chapter...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...will only reimburse claims for Medicaid services. Claims for Medicare must be submitted to the plan managing the member’s Medicare benefits. Therefore, we recommend that you check member eligibility each...
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