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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...SEC. 2913.40 MEDICAID ELIGIBILITY FRAUD, OHIO REVISED CODE SEC. 2913.401 FALSIFICATION, OHIO REVISED CODE SEC. 2921.13 OFFENSES BY MEDICAID PROVIDERS, OHIO REVISED CODE SEC. 5164.35 CareSource Policy It is the...
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Rights and Responsibilities
https://www.caresource.com/plans/caresource-passe/plan-documents/rights-responsibilities/...509F HHH Bldg. Washington, D.C. 20201 Email: OCRComplaint@hhs.gov Online: https://www.hhs.gov/civil-rights/filing-a-complaint/index.html Your Responsibilities Use the providers in the CareSource PASSE network. Go to all of your planned visits to your providers,...
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Medical Benefits
https://www.caresource.com/benefits-services__trashed/medical/CareSource has a network of doctors, hospitals and other providers. If you use providers who are not in our network, the plan may not pay for these services unless you...
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...providers and member rights and responsibilities. Be treated with respect and dignity by HAP CareSource personnel, network providers and other health care professionals. Privacy and confidentiality for treatments, tests and...
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Depression Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/depression-toolkit/...to empower both primary care and behavioral health providers in everyday practice to address members’ unmet needs. This toolkit provides downloadable resources and practical tools that you can use in...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...Dollar Claims 06/05/2026 Prior Authorization Requirement Update 06/04/2026 Requirements to Enroll Providers in PNM 06/03/2026 Pharmacy Policy Updates June 2026 06/01/2026 Evolent Healthcare Advanced Radiology 06/01/2026 June 2026 Policy Updates...
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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...is available through our online Find a Doctor tool. This tool will show you: Primary care providers (PCPs) Primary dental providers (PDPs)/Dental Home Specialists Hospitals Download the machine-readable Provider Directory...
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Pregnancy & Family Planning
https://www.caresource.com/members/education/pregnancy/...you to resources and work with your providers to make sure you are healthy and safe. Our team helps you understand your pregnancy and how to take care of your...
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Provider Grievances
https://www.caresource.com/providers/provider-portal/provider-grievance/...from all parties and applying the CareSource written policies and procedures. Providers are permitted to submit complaints to CareSource regarding CareSource’s policies, procedures or any aspect of CareSource’s administrative functions....
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Model of Care Training
https://www.caresource.com/providers/education/patient-care/model-of-care-training/...dual-eligible members and all out-of-network providers seen by dual-eligible members routinely. Providers are required by CMS to attest to completing the annual model of care training. To complete the training,...
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