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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...Abuse Look 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...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...documents, click on the link, then choose Resources > Provider Documents > Evidence Based Preferred Drug List. Additionally, CareSource PASSE covers the over the counter (OTC) medications listed in Arkansas...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...was made regarding your medical care. You have the right to file a grievance when: You cannot get a timely appointment with a provider. You think the provider’s office staff...
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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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LGBTQ+ Health Care Resources
https://www.caresource.com/members/education/lgbtq-resources/...Rights Find Providers Find LGBTQ+ affirming providers. They know and understand the needs of LGBTQ+ people. Not all the providers listed are in our network. Please check the Find a...
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Opioid Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/opioid-toolkit/...opioids to reduce risk of overdose Checklist for Prescribing Opioids for Chronic Pain – Checklist before prescribing opioids for chronic pain Prescription Drug Monitoring Programs (PDMP) – Guideline for prescribing...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...the benefit of communities. The CareSource Indiana Quality Management and Improvement Program includes both health and non-health services and is revised as needed to quickly respond to member needs, provider...
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Contact Us
https://www.caresource.com/members/contact-us/...you need 24 hours a day, 7 days a week, 365 days a year. We can help you: Learn about a health problem. Decide when a visit to a provider,...
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Find A Doctor
https://www.caresource.com/members/tools-resources/find-a-doctor/...a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Find a Doctor/Provider Ready to use your...
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/...right to see a CareSource provider specializing in women’s health To be able to get a second opinion from a qualified provider on CareSource’s panel, and if a qualified provider...
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