...LIP) GA LIP is a health and safety program which protects members whose use of services exceeds medical necessity. Use of controlled substances are monitored and members are assigned designated...

...or a member of the Armed Forces, who lawfully may not sell or pledge property; or Knowingly makes, used, or causes to be made or used, a false record or...

...Health Partner Step-by-Step Guide. Get Credentialed Complete your application with supporting documents. Providers who wish to contract with CareSource® must also be credentialed. Through credentialing, we check the qualifications and...

...of providers: Family practice providers: Providers who care for children and adults of all ages and may include obstetrics and minor surgery. Nurse practitioners (NP) and physician assistants (PA):Providers who...

...resubmitting to CareSource. Who do health partners contact with questions? Health partners should contact Health Partner Services at 1-855-202-1058. Provider Portal Is there a difference in the information I receive...

...or the Provider Manual for further information related to claims submission. External Medical Review Providers who disagree with CareSource’s determination on appeal to deny, limit, reduce, suspend, or terminate a...

...services were billed to CareSource and how they were paid. It lists: The member who got the service The provider who billed for the service The date the service was...

...lets you work on your social skills. Services are given in a community setting. It can last a half day or whole day. Partial Hospitalization Program (PHP) Services PHP is...

...Abuse Look Like? Health care fraud, waste and abuse can be committed by health providers, members or pharmacies. Examples include the following. Health partners who: Providers who: Order medications, equipment...

...called Multi-Factor Authentication (MFA), and this process will be implemented for all new and existing users who register and log in to the Provider Portal. This page explains what it...