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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...page. Preferred Drug Lists Click the link that corresponds to your member’s plan: Planning for Healthy Babies (P4HB) Family Planning PDL P4HB Inter-pregnancy Care (IPC) PDL Online Drug Formularies We...
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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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Claims
https://www.caresource.com/providers/provider-portal/claims/...up-to-date service plan for our CareSource MyCare Ohio members, please fax your service plan to 937-487-0936. This number is only for service plans and NOT claim submissions. Alternative Option: Paper...
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Find My Prescriptions
https://www.caresource.com/members/tools-resources/find-my-prescriptions/...below to verify coverage, as well as check the costs of drugs and some supplies for CareSource insurance plans. If you are a member, your plan name is on your...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...detailed information. Transition of Care CareSource will coordinate continuity of care for members who have existing care treatment plans that include scheduled services with non-participating health partners or who transition...
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Training & Events
https://www.caresource.com/providers/education/training-events/...from that platform by choosing “Health Plan Resources” in the left menu bar. No Current Provider Portal Access: Go to Health Plan Resources to sign in using your NPI* and...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...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. We are...
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Make a Payment
https://www.caresource.com/members/my-caresource-account/make-payment/Log in to My CareSource, your personal portal account, to view claims and other plan details. If you owe any copayments or coinsurance, please pay these directly to the health...
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Are you Ready for a Disaster?
https://www.caresource.com/members/education/planning-ahead/disaster-readiness/...to help keep yourself and your family safe. Make a family plan. Choose a friend or a family member who lives out of town to contact during an emergency. Family...
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