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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...Cultural considerations may impact/influence member health decisions related to preventable disease or illness. The provider office staff makes reasonable attempts to collect race-and language-specific member data. Staff is available to...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...and abuse situations. From the Office of the Inspector General The Office of the Inspector General (OIG) has created free educational materials to assist in teaching physicians about the federal...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...office may have an after-hours phone number you can call to talk to an on-call doctor. You can also call the CareSource24 Nurse Advice Line. They can help you determine...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...This includes high standards of care and the same hours of operation. Identifying the member’s health needs and taking appropriate action. Providing phone coverage for handling patient calls 24 hours...
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FAQs
https://www.caresource.com/members/education/faqs/...away to DFCS. Find the address to your local county office. In Person. Visit your local county DFCS office. Find the address to your local county office. How can I...
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Contact Us
https://www.caresource.com/members/contact-us/...staff of registered nurses. Members can call the CareSource24 toll-free number located on their ID cards 24 hours a day, 7 days a week, 365 days a year. Our nurses...
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Contact Us
https://www.caresource.com/providers/contact-us/...Office of the Ombudsman The CareSource Office of the Ombudsman is an independent, neutral department within CareSource that serves the needs of CareSource members, providers and other stakeholders. The Office...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...exception review of requests, the timeframe for review is 72 hours from when we receive the request. For expedited exception review requests, the timeframe for review is 24 hours from...
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Renew Your Benefits
https://www.caresource.com/members/tools-resources/renew-benefits/...it back right away to DFCS. Find your local county office here. In Person: Visit your local county DFCS office. Find your local county office here. Please have member’s social...
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Training & Events
https://www.caresource.com/providers/education/training-events/...Go to https://www.healthplanresources.com to sign in using your NPI* and use the password provided in your Welcome Letter. Office Managers/Administrators: Managing a group of providers? Sign in through the Provider...
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