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Access & Availability Standards
https://www.caresource.com/providers/provider-portal/access-availability-standards/...Understanding NCQA helps providers align their practices with best practices, improve patient outcomes, and meet regulatory and payer requirements. Additionally, for behavioral health providers, NCQA’s growing focus on integrating behavioral...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...by CareSource at www.myturningpoint-healthcare.com. Providers will initially be asked to “Register for Access”. Upon registration, providers will be able to log into the provider portal and select the POLICIES section...
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Welcome
https://www.caresource.com/providers/welcome/...complex populations Getting Started Working with HAP CareSource MI Coordinated Health Our Provider Manual is a detailed resource for working with us. Or visit our Quick Reference Materials for a...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/...Services Provider Teladoc® is a CareSource $0 cost telehealth provider.* Can’t get in to see your primary care provider (PCP) or behavioral health provider quickly enough? Thinking of going to...
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Past Newsletters & Communications
https://www.caresource.com/providers/education/newsletters-communications/past-communications/...ProviderSource Newsletter Fall 2020 ProviderSource Newsletter Spring 2020 ProviderSource Newsletter Annual Insert Spring 2020 ProviderSource Newsletter Winter 2019 ProviderSource Newsletter Fall 2019 ProviderSource Newsletter Fall 2019 ProviderSource Newsletter Annual Insert...
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Update Practice Information
https://www.caresource.com/providers/provider-portal/update-practice-information/...Provider Maintenance Form on the Provider Portal. Simply log in to the portal and select “Provider Maintenance” from the Provider navigation area on the left-hand side of the page. Update...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...business Corrective action of any identified fraud, waste and/or abuse are available in the provider manual. For provider terminations/suspensions information, see the CareSource Fair Hearing Plan (coming soon). Prohibited Affiliations...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...assigned designated providers. GA LIP enrollees must get their medicines filled at one pharmacy. If you would like to refer someone to be considered for the GA LIP, please click...
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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/...provider costs and cost shares. Provider costs. We work with providers to agree on an overall cost for services. Overall cost considers the place (ER, office, clinic) and the cost...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...with traditional Medicare Providers need to confirm the CareSource MyCare Ohio member’s option for Medicare coverage. Important Tools Provider Portal Member ID Card You can easily verify member eligibility by...
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