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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...request. Per OAC 5160-26-08.4, you must state how the member’s life, health, or return to maximum function would be seriously jeopardized if the appeal is not completed expeditiously. Submit your...
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Request Patient Services
https://www.caresource.com/providers/tools-resources/request-patient-services/...In distress Feels like there may be a risk of suicide Having a crisis related to mental health, substance use or a developmental disability 24-Hour Nurse Advice Line If members...
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Behavioral Health
https://www.caresource.com/plans/dsnp/benefits-services/behavioral-health/Mental Health, Wellness and Substance Use Disorder Good health means more than just taking care of your body. It also means taking care of your mental health. Whether it’s alcohol...
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Depression Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/depression-toolkit/CareSource understands the importance of integrating physical and behavioral health care for seamless coordination of care across the health care continuum. We also understand there can be challenges when coordinating...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...quality of health care services; Claims, payments, handling or reimbursement for health care services; or Matters involving the contractual relationship between the member and the plan. Additional Help If you...
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BEHAVIORAL HEALTH
https://www.caresource.com/benefits-services/behavioral-health/With the stresses of today’s world, our mental health is as important as our physical health. For this reason, HAP CareSource MI Health Link offers behavioral health as part of...
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Resources for Pregnant Members
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/resources-for-pregnant-members/...Call if you or someone else is: Thinking of suicide or hurting themselves Having a mental health crisis Having a substance use crisis Need to talk to someone now? Call...
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Welcome
https://www.caresource.com/providers/welcome/...First, Pursuing Better Health Care. Together we can make a lasting difference in the lives of those we serve by improving their health and well-being. The CareSource Difference Non-profit organization...
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Substance Use Disorder
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/substance-use-disorder/...suicide or hurting themselves Having a mental health crisis Having a substance use crisis Need to talk to someone now? Call the CareSource24® Nurse Advice Line at 1-833-687-7342. You have...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...partial, total, and revision surgeries Knee Arthroplasty Uni-compartmental/Bi-compartmental Knee Replacement Hip Arthroplasty Hip Arthrodesis Shoulder Arthroplasty Elbow Arthroplasty Ankle Arthroplasty Wrist Arthroplasty Acromioplasty and Rotator Cuff Repair Anterior Cruciate Ligament...
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Mental health