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Tobacco Use During Pregnancy
https://www.caresource.com/members/education/smoking-cessation/tobacco-use-during-pregnancy/...educational materials tailored just for pregnant women who smoke or use other tobacco products. BABY & ME – Tobacco-Free Program™ This program provides counseling and support to pregnant women who...
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Health Care Terms
https://www.caresource.com/members/education/health-care-terms/...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...
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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/...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...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...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...
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FAQs
https://www.caresource.com/providers/education/faqs/...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...
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Why Choosing a PCP is Important
https://www.caresource.com/members/tools-resources/why-choosing-a-pcp-is-important/...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...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...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...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...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...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...services to get a higher repayment Members who: Share their CareSource member ID card with another person Sell prescribed medications or other medical equipment paid for by CareSource Provide inaccurate...
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Forms
https://www.caresource.com/members/tools-resources/forms/...tell you where you need to return each form, who to contact if you have questions and any next steps to take. Forms may be downloaded for printing. Tell Us...
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