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Who We Are
https://www.caresource.com/who-we-are/Who We Are CareSource is a national, nonprofit, managed care organization with more than 2 million members in 14 states*, dedicated to transforming health care for those served by government-sponsored...
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Flu Shot
https://www.caresource.com/members/education/preventive-care/flu-shot/...includes: People 65 years of age or older Women who are pregnant or trying to become pregnant People who live in a nursing home or other long-term care facilities People...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...on behalf of the government. Anyone who believes that he or she has been subject to any such retribution or retaliation should also report this to the Program Integrity department....
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Tobacco-Free Youth
https://www.caresource.com/members/education/smoking-cessation/tobacco-free-youth/Is your child ready to quit using tobacco and earn up to $200? HELP YOUR CHILD NOW Teenagers who use tobacco don’t always look like pack-a-day cigarette smokers. Many of...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...the percentage of CareSource members who receive their recommended screenings. If you have a patient with asthma, diabetes, or hypertension who you believe would benefit from this program and are...
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FAQs
https://www.caresource.com/members/education/faqs/...What you and your PCT need: Your diagnosis. Your social, medical, physical and mental health history. Your medications. List of services you get and who provides them. What your PCT...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...care treatment plans and notifying CareSource of members who may benefit from care coordination. In addition, CareSource PCPs play an integral part in coordinating health care for our members by...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...federal and/or state provider agreements from knowingly having relationships with persons who are debarred, suspended or otherwise excluded from participating in federal procurement and non-procurement activities. Relationships must be terminated...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...grace period to members who have advance premium tax credit (APTC). Members who do not have APTC will have a 30-day grace period. If a member becomes delinquent in premium...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...detailed information. Transition of Care CareSource will coordinate continuity of care for members who have existing care treatment plans that include scheduled services with non-participating health partners or who transition...
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