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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...from treating health care providers, or other information that provider wants considered in reviewing case Providers need to upload the request form and all supporting documentation to Permedion’s provider portal...
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Health and Social Partnerships
https://www.caresource.com/providers/education/health-equity/Our Commitment We are committed to improving our beneficiaries’ health by removing barriers to care and working with our community partners and providers to drive meaningful change. Provider Responsibilities Providers...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Authorization Request Form . 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...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...Ohio Medicaid and MyCare Providers: Ohio Medicaid and MyCare providers should utilize the Provider Network Management (PNM) module from the Ohio Department of Medicaid (ODM) for submitting provider applications, credentialing...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...care providers. Our providers work with us in this effort. We choose providers based on their education and quality of care. We do not discriminate against any providers. We may...
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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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Laboratory
https://www.caresource.com/providers/education/patient-care/laboratory/CareSource® covers laboratory testing services for our members. Laboratory service providers can access the following tools to help them provide efficient and quality care. Policies Providers can view CareSource’s laboratory...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...07/01/2020 Interactive Voice Response (IVR) Enhancements for Providers 06/25/2020 Feedback Requested: SNF Provider Summit Ideas 06/22/2020 Provider Portal Claims Submittal Enhancement 06/15/2020 Policy Updates June 2020 06/01/2020 Holiday Claim Remittance...
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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/...needed. Learn more about CareSource24 on our Where to Get Care page. Use Network Providers Make sure you are using CareSource Marketplace network providers. Use the Find A Doctor tool...
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...hypertension and diabetes) Population health (e.g., obesity and tobacco cessation) Guidelines may be promoted to providers through one or more of the following: newsletters, our website, direct mailings, provider manual,...
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