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Marketplace
https://www.caresource.com/plans/marketplace/...wellness services Emergency services Hospitalization Prescription drugs Outpatient care Pregnancy, maternity and newborn care Mental health and substance use disorder services Rehabilitative and habilitative services and devices Laboratory services Pediatric...
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Health Care Terms
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/health-care-terms/...services. Behavioral Health Care Coordination Services This no-cost service pairs you with a Care Manager. Our Care Managers are nurses, social workers or counselors. You and your Care Manager will...
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...Services. Clinical Practice Guidelines Health Condition Clinical Guideline Asthma 2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert...
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Additional Services
https://www.caresource.com/plans/tricare-prime-demo/benefits-services/additional-services/You get extra benefits, just for being a beneficiary. All at no cost to you! CareSource MyLife View your benefits, see your claims, access your beneficiary ID card and get...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...6/07/2022 12/22/2022 Synagis Prior Authorization Resources Notification 12/19/2022 Prior Authorization Requirement for Non-Participating Laboratory Services 12/13/2022 Pharmacy Policy Updates - January 2023 12/09/2022 Unified Preferred Drug List (UPDL) Changes 12/07/2022...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...only once? Did you get services on all the dates of service that are shown? If you suspect an error or fraud, report it to us using one of the...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...pharmacy; and those that are administered in the patient’s home, including drugs administered through a home health agency. CareSource uses evidence-based guidelines to ensure health care services and drugs meet...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...service not covered by Medicaid, the provider may charge the member for the service as long as the member has been told prior to receiving the service that it was...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...Health and Human Services ―Agency for Healthcare Research and Quality (AHRQ). Potential CAHPS measures include: Customer service Getting care quickly Getting needed care How well doctors communicate Ratings of all...
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Mental Health
https://www.caresource.com/members/education/mental-health/...National Institute on Drug Abuse National Suicide Prevention Lifeline Stay Positive Arkansas Substance Abuse and Mental Health Services Administration Member Services: 1-833-230-2005 (TDD/TTY: 711) Monday through Friday, 8 a.m. –...
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