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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/CareSource of North Carolina Co.® is committed to maintaining the quality and appropriateness of health care services provided to our members. The Utilization Management department performs all utilization management (UM)...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/Our Provider Manual is a resource for working with our health plan. This manual communicates policies and programs and outlines key information, such as claim submission, and reimbursement processes, authorizations,...
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Mail Order Drugs
https://www.caresource.com/members/tools-resources/find-my-prescriptions/mail-order-drugs/Get Your Prescriptions Delivered to Your Door! You can get many of your Medicare Part D drugs sent to your home through mail. We work with Express Scripts® to offer...
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Drug Transition Policy
https://www.caresource.com/benefits-services/pharmacy/drug-transition-policy/...can be up to a 30-day supply at a network pharmacy if one of the following is true: You are new to CareSource MyCare Ohio in the first 90 days...
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Training & Events
https://www.caresource.com/providers/education/training-events/Earn rewards for keeping your patients healthy! Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help...
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Home
https://www.caresource.com/...D-SNP) CareSource® MyCare Ohio (HMO D-SNP) With CareSource MyCare Ohio (HMO D-SNP), you get a fully integrated health plan that combines Medicare and Medicaid into a single, easy-to-manage option. Learn...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...Program design is to ensure the organization delivers on all aspects of care delivery for CareSource MyCare Ohio members based on their unique needs. We monitor, analyze and identify opportunities...
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Priorities
https://www.caresource.com/about-us/caresource-foundation/program-areas/Through strategic grant-making and partnerships, the CareSource Foundation is committed to improving the overall health and well-being, both physically and mentally, in communities where CareSource members reside. To do this,...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/Telehealth uses your phone, computer, or tablet to speak to a provider. It removes the stress of needing transportation to and from the provider’s office. You can talk to a...
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Devon Valencia, Chief Information Officer
https://www.caresource.com/about-us/executive-leadership/devon-valencia-chief-information-officer/...serves on the board of directors for the Dayton Area Chamber of Commerce and the Dayton Boys & Girls Club. She also serves on several committees supporting JobsOhio, Cincinnati CIO...
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