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FAQs
https://www.caresource.com/providers/education/faqs/...one of many services available to our providers 24 hours a day through our secure Provider Portal. The pended claims report is another resource for claim status and it is...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...
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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/...office. Find your local county office here. Questions? Call your local DFCS office if you have questions. This must be handled by your local DFCS office. Visit staycovered.ga.gov Note: Please...
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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/...120 days of getting CareSource’s finding. Reviews are done within 90 days for standard reviews or within 72 hours for expedited (fast) reviews. This will be final and CareSource will...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...works, you may file a grievance. For example, you may be unhappy because: You cannot get a timely appointment with a provider. You think the provider’s office staff did not...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...You think the provider’s office staff did not treat you fairly. You are not satisfied with the quality of care you received. CareSource denies a service. CareSource gives partial approval...
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/...only approved providers Keep doctor and dentist visits, be on time, and call 24 hours before to cancel. Follow the advice and care you have agreed to with your ID...
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Find a Doctor's Professional Training
https://www.caresource.com/members/tools-resources/where-to-get-care/find-doctors-professional-training/...p.m. Our Find a Doctor/Provider tool lists specialties, addresses, phone numbers, office hours and languages they speak. If you’d like more details about a doctor, there are many sites that...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...Faster feedback on claim status Minimal staff training or cost Three types of claims may be submitted: Professional medical office claims Institutional claims Instructions for Network Providers: Submitting Claims to...
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Tools & Resources
https://www.caresource.com/members/tools-resources/...care, hospital or other provider? Find addresses, phone numbers, office hours and more. Find A Doctor Renew your Benefits Renew your Benefits Don’t lose your Medicaid coverage. Learn how to...
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