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Contact Us
https://www.caresource.com/providers/contact-us/Provider Services Provider Services Commonwealth Care Alliance® (CCA): 1-866-420-9332 Weekdays, excluding Thursday, 8 a.m. to 5 p.m., Eastern Time (ET) and Thursdays, 8:30 a.m. to 5 p.m., Eastern Time (ET)...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...under the pharmacy benefit. Specialty Pharmacy Prior Authorization Request Form – Submit this form to request prior authorization to prescribe specialty pharmacy medications, as outlined in the CareSource member’s plan...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...scientific evidence published in peer reviewed medical literature generally recognized by the medical community, physician specialty society recommendations and the opinions of physicians practicing in clinical areas relevant to the...
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Florida Northwest Grant Challenge
https://www.caresource.com/about-us/caresource-foundation/support-challenge/florida-northwest-grant-challenge/...Northwest Florida Capital Area Healthy Start Coalition Fourth-place Winners – $5,000 Children’s Home Society Wolfson Children’s Specialty Center Voices for Florida Semi-Finalists – $2,500 Gulf Coast Kids House Autism Pensacola...
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Eric Van Allen, President, Arkansas Market – CareSource PASSE™
https://www.caresource.com/about-us/executive-leadership/eric-van-allen-president-arkansas-market-caresource-passe/...he served in multiple leadership roles for Beacon Health Options including as CEO for Beacon Kansas and in program development nationally, including Arkansas, where he led the expansion of specialty...
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School Based Health Centers (SBHC)
https://www.caresource.com/members/tools-resources/where-to-get-care/school-based-health-centers-sbhc/What’s a SBHC? SBHCs are medical clinics that offer healthcare services to students and staff. The clinics are either within the school or on school property. Primary care and/or specialty...
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RIGHTS & RESPONSIBILITIES
https://www.caresource.com/plan-documents/rights-responsibilities/...network of primary and specialty providers who are capable of meeting your needs with respect to physical access, and communication and scheduling needs, and are subject to ongoing assessment of...
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Dental
https://www.caresource.com/plans/dsnp/dental-vision-and-hearing/dental/...Medicare by selecting Dual Special Needs from the list. Lastly, filter the Specialty column by selecting Dentistry. Call DentaQuest at 1-855-388-6252 (TTY: 711). Dental Coverage CareSource Dual Advantage™ (HMO D-SNP)...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/Review the various errors below to understand how to correct and resubmit. When viewing your 277CA, all CareSource rejections will have a Claim Status Category Code of A7. The second...
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