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Forms
https://www.caresource.com/members/tools-resources/forms/...a complaint about a service. CareSource Dual Advantage™ Plus (HMO D-SNP) Grievance Form When you have a complaint about a service. Member Claim Form (Updated 11/14/2024) Use this form to...
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Suicide Prevention Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/suicide-prevention-toolkit/...Abuse and Mental Health Services Administration (SAMHSA) – The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that...
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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...Hospital care (except emergency room) Medical supplies and equipment Inpatient services (mental health or substance use disorder services) Rehabilitation services This is not a full list of services that need...
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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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Contact Us
https://www.caresource.com/providers/contact-us/...contact for your questions. Department Phone Hours of Operation Additional Information Provider Services 1-833-230-2100 Monday through Friday, 8 a.m. to 5 p.m. Central Time (CT) Member Services 1-833-230-2005 Monday through...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/...dental benefits consists of both the State Plan approved services, as well as several extra benefits services. Extra benefits services are additional services outside of the standard Medicaid benefits package...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...end of the already approved service. The provider will have to submit a request for any additional services for review of medical necessity outside these dates of service prior to...
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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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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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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...medication through our Mail Order service. Set Up your CareSource MyLife Personal Online Account. Visit MyLife.CareSource.com and click Create Account to get started. Follow the prompts to set up your...
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