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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...on behalf of the government. Anyone who believes that he or she has been subject to any such retribution or retaliation should also report this to the Program Integrity department....
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Mental Health
https://www.caresource.com/members/education/mental-health/...or something else, we want to help you get the support you need. Learn more about substance use disorder. Support Groups and Online Resources You can reach out to these...
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Substance Use Disorder
https://www.caresource.com/members/education/mental-health/addiction-help/...Substance Use Services Substance Use Disorder (SUD) recovery services could be one-on-one, in a group, or with your family. You will get recovery support and learn coping skills. Assessments and...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...in Effect 04/25/2025 Pharmacy Policy Updates April 2025 04/18/2025 Corrected Claim Submission Requirements 04/11/2025 Prothesis and Orthosis Claims Editing Logic 04/10/2025 2025 Q2 CareSource Live Provider Education and Training Series...
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Mental Health And Wellness
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/mental-health-and-wellness/...the terms mean that your provider uses. Benefit Terms Support Groups and Resources Support Groups and Resources Get more information and find support when you need it. Find Groups Need...
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Tobacco-Free Youth
https://www.caresource.com/members/education/smoking-cessation/tobacco-free-youth/...could have a do-over, you’d never start. It’s not simple. It may take a few tries and the extra help of a program or support group. However, your kids will...
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Transportation
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/transportation/...support the person. Special modes of transport include, but are not limited to: Vehicles with wheelchair lifts Medi-Van vehicles Medically necessary attendants Other transportation-related support needs to ensure your safe...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...are not needed. Abuse is action that causes unneeded costs to CareSource. Report Fraud, Waste & Abuse Call 1-844-415-1272 (TTY: 711). Our hotline is available 24 hours a day. Fill...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/CareSource® covers both musculoskeletal and cardiac surgeries for our members. Orthopedic, Neuro-Spine and Cardiac providers can access the following tools to help them provide efficient and quality care. Policies Providers...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Authorization Statistics Please access the Pharmacy Prior Authorization Transparency Act Report to view the latest statistics. Please access the Utilization Management Prior Authorization Transparency Act Report to view the latest...
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