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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...Medication. The CareSource Pharmacy Department will review all exception requests and provide a decision within 24 hours after the request is received. Providers may be asked to provide written clinical...
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Ohio Provider Appeals
https://www.caresource.com/providers/provider-portal/appeals/ohio-provider-appeals/...policies and timeframes may vary by plan. Click the links below to access appeals information for your member’s plan. Ohio Medicaid CareSource MyCare® Ohio Marketplace Medicare Advantage – Non-participating providers...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/CareSource® covers both musculoskeletal and cardiac surgeries for our members. Orthopedic, Neuro-Spine and Cardiac providers can access the following tools to help them provide efficient and quality care. Policies Providers...
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Welcome
https://www.caresource.com/providers/welcome/...Leading the way in innovations to serve complex populations Getting Started Working with Us Our Provider Manual is a detailed resource for working with us. Or visit our Quick Reference...
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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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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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Update Practice Information
https://www.caresource.com/providers/provider-portal/update-practice-information/...the Provider Maintenance Form on the provider portal. Simply login to the Portal and select “Provider Maintenance” from the Provider navigation area on the left-hand side of the page. Update...
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Past Newsletters & Communications
https://www.caresource.com/providers/education/newsletters-communications/past-communications/...ProviderSource Newsletter Fall 2020 ProviderSource Newsletter Spring 2020 ProviderSource Newsletter Annual Insert Spring 2020 ProviderSource Newsletter Winter 2019 ProviderSource Newsletter Fall 2019 ProviderSource Newsletter Fall 2019 ProviderSource Newsletter Annual Insert...
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FAQs
https://www.caresource.com/members/education/faqs/...PCP to another provider up to once a month. Or use the Find A Doctor tool to find all providers in our network. Contact Us How can I contact CareSource?...
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