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Forms
https://www.caresource.com/providers/tools-resources/forms/...CareSource PASSE to report a change within your practice. Provider Education Attestation Form Use this form to provide attestation of completing education requirements. Provider Maintenance Form Use the Provider Portal...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Non-Participating Providers Prior authorization must be obtained before sending patients to nonparticipating providers, with the following exceptions. Emergency Services All in-patient services require prior authorization. Please call 1-833-230-2101 to obtain...
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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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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...newsletters, our website, direct mailings, provider manual, and through focused meetings with CareSource Provider Engagement Specialists. A broad range of wellness, preventive health and chronic disease management tools are also...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...Acrobat Reader. Provider Manual Macomb Prepaid Inpatient Health Plan (PIHP) Provider Manual Addendum Dental Provider Manual The dental provider manual is a resource for our dental providers and serves as...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/...Oxygen Delivery Systems & Supplies P Pass-Through Billing Payment to Out of Network Providers Payment to Out of Network Providers Payments to Out-of-Network Providers Positive Airway Pressure Devices for Pulmonary...
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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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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...protocols and guidelines. Providers can submit requests by any of the methods identified below. Providers are required to submit pertinent medical/drug history, prior treatment history and any other necessary supporting...
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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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Preventive Care
https://www.caresource.com/members/education/preventive-care/...bullets below explain the preventive care services listed in the charts above. If you have more questions, please contact your Primary Care Provider (PCP). You can also speak to one...
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