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Update Practice Information
https://www.caresource.com/providers/provider-portal/update-practice-information/...learn more about CareSource PASSE’s collaboration with BetterDoctor, view the BetterDoctor FAQs. Up-to-date contact information is critical to process your claims and prior authorization requests. In addition, it ensures our...
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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/...issues. Staff are accessible to callers who have questions about the UM process. You can call us about: UM for prior authorization (pre-approval) requests Any other UM issues and concerns...
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Healthy Heart
https://www.caresource.com/plans/marketplace/healthy-heart/...and no annual or lifetime dollar limits for essential health benefits. Now, you can get these additional healthy heart benefits too! *Prior authorization or step therapy required. **Limit of one...
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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...referenced above: Log on to CAQH using your account information. Select the Authorization tab. Make sure CareSource Medicaid Ohio isCareSource Marketplace Ohio isCareSource Advantage Zero Premium and CareSource Advantage Ohio...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...note: A provider must be fully enrolled and active with Indiana Health Coverage Programs (IHCP) prior to becoming a participating CareSource provider. Please review the IHCP Network Effective Date Policy...
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Rights and Responsibilities
https://www.caresource.com/plans/mississippi-chip/rights-and-responsibilities/...get from out-of-network providers and understand how to ask for authorization for such services. To follow established processes for prior authorization when requesting inpatient services and letting TrueCare know of...
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Rights and Responsibilities
https://www.caresource.com/plans/mississippican/rights-and-responsibilities/...get from out-of-network providers and understand how to ask for authorization for such services. To follow established processes for prior authorization when requesting inpatient services and letting TrueCare know of...
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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...and Appeal Form Member Claim Form Prior Authorization List 2025 Prior Authorization List We want you to easily find the documents you need. The list below also tells you when...
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Archived Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/archived/...Q R S T U V W X Y Z A Abortion Abortion Abortion Acute In-Patient Detoxification (Opioid) PA Criteria Acute In-Patient Detoxification (Opioid) Prior Authorization Criteria Applied Behavior Analysis...
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Collaborative Care Model (CoCM) Initiative
https://www.caresource.com/providers/education/patient-care/behavioral-health/about-the-collaborative-care-model-cocm-initiative/...the regular clinic hours, if needed. Is there a specific enrollment process for providers? No, CareSource will identify eligible providers. Does this service require prior authorization? No, there are no...
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