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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...Providers can view clinical guidelines being used by CareSource at www.myturningpoint-healthcare.com. Providers will initially be asked to “Register for Access”. Upon registration, providers will be able to log into the...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...information, visit the Quick Reference Materials page. State Department of Health Resources Please select your state resources below for specific COVID-19 vaccine guidance. State Information Kentucky Cabinet for Health &...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...documents. Providers who wish to contract with CareSource® must also be credentialed. Through credentialing, we check the qualifications and performance of physicians and other health care practitioners. Providers are recredentialed...
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Marketplace
https://www.caresource.com/plans/marketplace/...care Pregnancy, maternity and newborn care Mental health and substance use disorder services Rehabilitative and habilitative services and devices Laboratory services Pediatric services, including dental and vision Optional Adult Vision...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...Vision web site at https://superiorvision.com/eye-care-professionals/join/. CareSource will continue to administer medical optometry. All medical services that fall within the optometrist scope of practice will be reimbursed at 100% of the...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/As an entity that offers Medicaid and Medicare coverage, CareSource® is required to comply with certain provisions of the Deficit Reduction Act. One such provision requires us to provide you...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/CareSource’s covered routine dental benefits are administered by Delta Dental. Delta Dental Phone: 1-833-778-7003 Routine Dental Providers Please use the Providers Dental Provider Login menu option of the Provider Portal...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...polices apply to our Kentucky Marketplace plans. These medical polices apply to our Indiana Marketplace plans. These medical polices apply to our West Virginia Marketplace plans. These medical policies apply...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...Law: Kentucky has not enacted a false claims statute with a qui tam provision comparable to the federal False Claims Act. However, Kentucky law does permit the Kentucky Attorney General...
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Plans
https://www.caresource.com/plans/...Demo Indiana Indiana Healthy Indiana (HIP) Hoosier Healthwise (HHW) Marketplace Kentucky Kentucky MARKETPLACE Michigan Michigan Medicaid MI Coordinated Health Marketplace Nevada Nevada Medicaid Marketplace North Carolina North Carolina MARKETPLACE Ohio...
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