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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...non-clinical services. CareSource monitors and evaluates the quality of care, encompassing the safety and service delivered to our members with an emphasis on accessibility to care, availability to care, availability...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...care treatment plans and notifying CareSource of members who may benefit from care coordination. In addition, CareSource PCPs play an integral part in coordinating health care for our members by...
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...research and practice. Maternal Care Obstetric Care Consensus, Levels of Maternal Care The American College of Obstetricians and Gynecologists Maternal Health Avoidance of Nonmedically Indicated Early-Term Deliveries and Associated Neonatal...
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FAQs
https://www.caresource.com/providers/education/faqs/...not been provided. Once the primary EOB is received, CareSource will verify if the prenatal visits are a part of the primary payer’s global reimbursement. If they are, CareSource will...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...needs care right away, an Urgent Care Clinic may be a good choice. If you need to get urgent care, you can: Call your PCP for advice. Call CareSource24, our...
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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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FAQs
https://www.caresource.com/members/education/faqs/...You can also view copies online or call Member Services. How do I select or change my primary care provider (PCP)? You are not required to see the primary care...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/CareSource North Carolina Co., d/b/a/ CareSource Your Responsibilities Be Enrolled and Pay Required Premiums Benefits are available to you only if you are enrolled for coverage under the plan. To...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/Before providing care or prescribing medicine for your patients, please review the CareSource® MyCare Ohio (HMO D-SNP) Medicare Part D formulary and Medicaid List of Covered Drugs. Formulary Use the...
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Health Care Terms
https://www.caresource.com/members/education/health-care-terms/...with a Care Manager. Our Care Managers are nurses, social workers or counselors. You and your Care Manager will talk by phone or in-person. They will work with you to...
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Primary care physician