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Opioid Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/opioid-toolkit/...to help them monitor their prescribing habits. This report is available for participating providers 24/7 through the CareSource Provider Portal. Other Resources Substance Abuse and Mental Health Services Administration (SAMHSA)...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/CareSource’s covered routine dental benefits are administered by Delta Dental. Delta Dental Phone: 1-833-778-7003 Routine Dental Providers Please use the Providers Dental Provider Login menu option of the Provider Portal...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...the care provided. If you are unhappy or don’t agree with a decision made by CareSource or our providers, you or your authorized representative can let us know. In order...
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Your HDHP Preventive Plan
https://www.caresource.com/plans/marketplace/plan-documents/your-hdhp-preventive-silver-plan/...Ask your provider to ‘e-prescribe’ a 3-month supply to Express Scripts. Your provider should already have the website and phone number. Plan Costs Learn more about your plan’s costs by...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...providers are solely responsible for diagnosis, treatment and medical advice. CareSource is not responsible for, does not provide, and does not represent itself as a provider of medical care. Policies...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...Like? Health care fraud, waste and abuse can be committed by health providers, members or pharmacies. Examples include the following. Health partners who: Providers who: Order medications, equipment or services...
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/...Diagnostic Testing P Pain Management Providers Pass-Through Billing Policy Development Process Program Integrity Provider Prepayment Review Provider Home Visits R Readmission T Trading Partners # A B C D E...
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Contact Us
https://www.caresource.com/members/contact-us/...how to access them. Help find providers near you, and much more! Interpreter and Translation Services If you or someone you care for has problems reading or understanding this information,...
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Tools & Resources
https://www.caresource.com/providers/tools-resources/...More Forms Forms Find forms for contracting, authorization, claim submission and more. View Forms Provider Policies Provider Policies View medical, reimbursement, pharmacy and administrative provider policies. Review Policies Quick Reference...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/As an entity that offers Medicaid and Medicare coverage, CareSource® is required to comply with certain provisions of the Deficit Reduction Act. One such provision requires us to provide you...
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