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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...will review the provider’s request and begin building the provider’s contract. CareSource will coordinate with the CVO to confirm the status of providers who request to enroll with us and...
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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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Archived Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/archived/...Providers Opioid Use Disorder Medication Treatment Providers P Pain Management Providers Pain Management Providers Pain Management Providers Pain Management Providers Partial Hospitalization Program - Mental Health Partial Hospitalization Program -...
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Welcome
https://www.caresource.com/providers/welcome/Welcome to CareSource PASSE Our mission is: Putting Members First, Pursuing Better Health Care. Together we can make a lasting difference in the lives of those we serve by improving...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...with any UM questions. Providers may call 1-855-852-5558 to get help with any UM questions. Providers may call 1-855-202-1091 to get help with any UM questions. Providers may call 1-833-230-2101...
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/Member Rights As a member of CareSource you have the following rights: To get information about CareSource, its services, providers, and member rights and duties. To get all services that...
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FAQs
https://www.caresource.com/members/education/faqs/...care coordinator go to Individual Education Plan (IEP) and 504 Plan meetings. Does a care coordinator help call the doctor’s office? Care coordinators can help schedule visits with providers or...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/Our Program Integrity Department handles cases of managed care fraud, waste or abuse. It can be done by providers, pharmacies, or members. Fraud means the purposeful misuse of or for...
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Forms
https://www.caresource.com/providers/tools-resources/forms/...PASSE Common Roster Template This form should be completed by large facilities needing to add a large number of providers. Providers may attach the completed form to their New Health...
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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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