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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...and the treating provider may not proceed with that service or supply after receiving a denial from CareSource for the requested non-covered service. Existing clinical policies are regularly reviewed and...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/CareSource wants to equip you to work with our health plan to provide the best service for our members. The following materials will help familiarize you with the CareSource Ohio...
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Forms
https://www.caresource.com/members/tools-resources/forms/...you can get the service. Your provider can submit a request for a prior authorization using this form. A list of services that require Prior Authorization is available on the...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/...Member Services: 1-844-607-2829 (TTY: 1-844-743-3333 or 711), Monday through Friday, 7 a.m. CT/8 a.m. ET to 7 p.m. CT/8 p.m. ET. Your 24/7/365 On-Demand Telehealth Services Provider Teladoc® is a...
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Opioid Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/opioid-toolkit/...– Utilization and education Benefits Behavioral Health Covered Benefits and Services – Behavioral health covered services per market and product Provider Clinical Tools and Resources Controlled Substance Report – CareSource...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...standardized rules. The review will include evaluation of services for being experimental and/or investigative, as well as clinical appropriateness based upon patient demographic information. Providers may also request copies of...
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Understanding Your Costs
https://www.caresource.com/members/tools-resources/understanding-your-costs/...Services if you need help. Member Services can help answer questions about your EOB or claims. Call Member Services or Care Management if you need help. Member Services can help...
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Substance Use Disorder
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/substance-use-disorder/...in your area by calling the Addiction Services helpline at 1-833-674-6437. Your Substance Use Disorder Benefits Include: Substance Use Services Substance Use Disorder (SUD) recovery services could be one-on-one, in...
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Mental Health And Wellness
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/mental-health-and-wellness/...like. If you need help finding a provider, please visit FindADoctor.CareSource.com. You can also call Member Services. We want to make sure you get the right services as soon as...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/CareSource® offers care coordination that can provide a broad spectrum of educational and follow-up services for your patients. You can access care plans online through the provider portal to easily...
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