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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...identifying patients at risk for “perinatal” depression. Opioid Tool Kit Opioid Tool Kit Mental Health and Substance Use Disorders Practitioner Training Source Practitioner Training Description SAMHSA – Substance Abuse and...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...Spinal Cord Neurostimulator Spinal Decompression Thermal Intradiscal Procedures Cardiac | Including all associated partial, total, and revision surgeries Cardiac Catheterization Coronary Angioplasty/Stenting Implantable Cardioverter Defibrillator ICD Revision or Removal Pacemaker...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...under the plan, you should show your ID card every time you request health care services. If you do not show your ID card, your provider may fail to bill...
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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/...internal appeal you may file an external review and/or a state fair hearing. External Review External Review You must file your external review request in writing within 120 calendar days...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...Ohio Medicaid and MyCare Providers: Ohio Medicaid and MyCare providers should utilize the Provider Network Management (PNM) module from the Ohio Department of Medicaid (ODM) for submitting provider applications, credentialing...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...and more. Access your digital ID card Go to the Google Play Store® or the Apple App Store® to download CareSource MyLife. Your Member ID Card Your member ID card...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...to offset overpaid claims against a future payment. Payment Review Tool (Coming Soon) Use this tool to reference CareSource’s pre- and post-payment review processes and appropriate contacts. Provider Manual Refer...
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FAQs
https://www.caresource.com/members/education/faqs/...Get a CareSource member ID Card, Plan Documents or Change Your Doctor How do I get a new CareSource member ID card? You can get a new member ID card...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...Card The member ID card is used to identify a member; it does not guarantee eligibility or benefits coverage. Members may disenroll from CareSource and retain their previous ID card....
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/Our Quality Improvement (QI) Program is designed to ensure the organization delivers on all aspects of care delivery for beneficiaries based on their unique needs. We monitor, analyze and identify...
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