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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...through routine health plan reporting, annual Healthcare Effectiveness Data and Information Set (HEDIS®). In addition, Marketplace members complete the annual Quality Health Plan (QHP) Enrollee Survey to capture member perspectives...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...You can use the Consent for Provider to File an Appeal on Patient/Member’s Behalf form to record this consent. Now Available: Provider Fair Hearing Plan The Provider Fair Hearing Plan...
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Medicare Prescription Payment Plan
https://www.caresource.com/plans/dsnp/pharmacy/drug-cost-help/mppp/...CareSource? If you disenroll from CareSource or enroll in a new plan with drug coverage, your participation in this payment option will end. You will continue to receive a monthly...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...plan to determine if they have Medicare Part D drug copays. Formulary Exceptions During the course of a member’s medical care, there may be instances when a member requires a...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/CareSource® offers care coordination that can provide a broad spectrum of educational and follow-up services for your patients. You can access care plans online through the provider portal to easily...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...to work with our health plan to provide the best service for our members. The following materials will help familiarize you with the CareSource PASSE plan. You will find key...
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FAQs
https://www.caresource.com/providers/education/faqs/...a participating health partner? Providers can visit our Plan Participation page to learn how to contract with CareSource. Or, call Health Partner Services at 1-855-202-1058. We can give you the...
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Medicare Prescription Payment Plan
https://www.caresource.com/members/tools-resources/find-my-prescriptions/medicare-prescription-payment-plan/...new plan with drug coverage, your participation in this payment option will end. You will continue to receive a monthly invoice for the amount owed until your balance is paid...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/...Hoosier Healthwise, Healthy Indiana Plan (HIP) Plus, HIP State Plus and HIP State Basic, and HIP Maternity plans. Depending on the patient’s plan, additional benefits may be covered, and some...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...Partner Contract Form to be part of Network in those states. Welcome to our plan. We work with our providers to provide the highest quality of care for our members....
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PLAN PARTICIPATION