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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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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...works, you may file a grievance. For example, you may be unhappy because: You cannot get a timely appointment with a provider. You think the provider’s office staff did not...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...SEC. 2913.40 MEDICAID ELIGIBILITY FRAUD, OHIO REVISED CODE SEC. 2913.401 FALSIFICATION, OHIO REVISED CODE SEC. 2921.13 OFFENSES BY MEDICAID PROVIDERS, OHIO REVISED CODE SEC. 5164.35 CareSource Policy It is the...
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Addiction Help
https://www.caresource.com/members/education/behavioral-health/addiction-help/...disease from needle sharing. Find a needle exchange program near you. Go to https://nasen.org/directory. Find a Provider Use our Find a Doctor tool to find providers like family therapists, social...
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Claim Payment Disputes
https://www.caresource.com/providers/provider-portal/claim-payment-disputes/...requests will be returned with no action taken. Payments disputes can be submitted to CareSource through the following methods: Provider Portal: https://providerportal.caresource.com Provider Portal Provider Portal: https://providerportal.caresource.com Provider Portal: https://providerportal.caresource.com...
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Electronic Visit Verification
https://www.caresource.com/providers/education/patient-care/electronic-visit-verification/...an in-home visit by a provider. This applies to PCS provided under sections 1905(a)(24), 1915(c), 1915(i), 1915(j), 1915(k) and Section 1115; and HHCS provider under 1905(a)(7) of the Social Security...
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Staying Safe From Infections
https://www.caresource.com/members/education/preventive-care/staying-safe-from-infections/...services that can help keep your family healthy. These are at no cost to you! Check them out below: Find a Doctor Tool Looking for a primary care provider (PCP)?...
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Welcome
https://www.caresource.com/plans/marketplace/welcome/...provider while you change to in-network providers with your new plan. Call Member Services to get this started. Get Up and Running! When You Are Coming From Another Plan (another...
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Tools & Resources
https://www.caresource.com/members/tools-resources/...providers, let us know. Get Started MyResources MyResources Programs for food, shelter, financial support, and more. MyResources Reporting Fraud, Waste & Abuse Reporting Fraud, Waste & Abuse Report a provider,...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...All internal appeal requests must have: The covered person’s name and ID number as shown on the ID card The provider’s name The date of the medical service The reason...
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